AFFORDABLE TRAVEL CLUB, INC.

US, Canada, & Mexico Membership Application

The Club operates on a calendar year basis (Jan1 - Dec 31)

Annual Dues: _X_ Online Directory ($65)

Name: ______________________________________________________________
Address: ______________________________________________________________
City, etc.: ______________________________________________________________
Telephone: ________________________ Cell: _________________________________
E-Mail: ______________________________________________________________
Occupations: ___________________________________________ Retired: ___yes ___no
Interests & Hobbies (list 4): ___________________________________________________
Mileage and Direction from major city: __________________________________________
Dwelling: ___House ___Apartment ___Condominium Check if: ___Rural ___Resort
Can accommodate (number of persons) _____ (minimum two)
Accept guests on short notice (72 hours or less)? ___Yes ___No ___Possibly
Beds: ___King ___Queen ___Double ___Twin Other: __________________
Guest’s Bath: ___Private for guests ___Shared with hosts
Type of Breakfast: ___Full ___Continental ___Either
Smoking Permitted: ___Yes ___No ___Outside
Pets in household: ___None ___Yes (specify) _____________________________
Will accept guests traveling with ___ Dog ___ Cat ___ No pets allowed
Do you have stairs that guests must use? ___ Yes ___ No
Air conditioning: ___Yes ___ No ___Not necessary
Public transportation nearby: ___Yes ___ No ___Car necessary
Other amenities offered (act as guide, dine out with guest (Dutch treat), pool, hot tub, private entrance, private
suite, etc): PLEASE LIST ON BACK OF APPLICATION
_______________________________________________________________________________
_______________________________________________________________________________
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I certify that I am 40 years of age or older. As a member I understand that the Affordable Travel Club, Inc. provides no
warranties as to the accommodations offered nor for the conduct of participating members. Accordingly, I hereby
release and hold harmless the Affordable Travel Club, Inc. from all liability arising out of my participation as a member.
Applicant’s signature _________________________________________ Date _______________
I heard of the Affordable Travel Club, Inc. from _________________________________________

___HOUSE SIT ___HOUSE/PET SIT ___HOME EXCHANGE

Check one: ___Willing to ___Need
Duration: ____ weeks When ________________________ Where _____________________
Please mail this completed application, along with your dues in US funds, to:

The Affordable Travel Club

635 N Fairview Drive Telephone: 253-444-7699
Tacoma WA 98406 - 1014 Email: atc@affordabletravelclub.net