Touchdown Club of Houston
2012 MEMBERSHIP APPLICATION FORM

NAME: ____________________________________________________________________________

ADDRESS: _________________________________________________________________________

CITY: __________________________________________________________ ZIP: _______________

E-MAIL (Important): _________________________________________________________________

FAVORITE COLLEGE(S): ____________________________________________________________

WORK PHONE: _____________________________________________________________________

Membership to the Touchdown Club of Houston is $95 per year. But we are running a membership special in 2010 for only $50 per year.

The Club has become the Houston chapter of the National Football Foundation and College Football Hall of Fame. That means that when you join the TD Club, you will vote on who is elected to the College Football Hall of Fame, and gives us an avenue to try and secure more money for the Club’s Football Scholar-Athlete Fund. You also will receive a Hall of Fame magazine. The Club has given out about $150,000 in scholarships over the last 11 years, and has awarded an additional $155,000 in weights and weight equipment to 30 Greater Houston high schools in the last eight years. The TD Club is a 501-c-3 organization, so all donations can be taken off of taxes.

_______ I would like to join the TD Club at $95, or $50 during the 2010 special. ______ I would like a Lifetime Membership for $1,000.

_______ I would like to rejoin the Club at $55.

_______ I would like to join for $50 at the educator rate, which includes all coaches.

_______ I would like to make a donation to the Weight Room Refurbishing Program:

_______ I would like to make a donation toward the Scholar-Athlete Fund:

________ $100 _________ $500 ________ $1,000 _________$5,000 _________other

Credit Card Number: _____________________________________________ Exp. Date: _____________

Total amount given: ___________________

______Check here is you would like to become automatically an annual member of the TD Club. We will need a credit card number for this option.

Please note that if you join the Touchdown Club of Houston, your information about events and future memberships will by communicated to you though the TD Club and not the NFF.

Mail to: Touchdown Club of Houston, 13280 Northwest Freeway, Suite F, No. 367, Houston, Texas 77040; Or call the TD Club hotline at: 281-754-4867