Individual Annual Membership

New Individual Membership
 
$ 320.00
Membership includes 2 adult seats, request additional seats above at a discounted per person rate
$ 540.00
Membership includes 2 adult seats, request additional seats above at a discounted per person rate
$ 810.00
Membership includes 2 adult seats, request additional seats above at a discounted per person rate
Total Amount
Please enter a Username to create an account. If you already have an account please login before completing this form.
Primary Member Information
Please use your preferred name.
We require a copy of your state ID on file. We reserve the right to request to perform a background check. We reserve the right to reject a membership request depending on the status of said background check.If you do not have a NYS ID, other forms of valid government ID are accepted. All information will be kept confidential.
TVCOG does not discriminate on basis of Title VII of the Civil Rights Act of 1964 and New York State's Gender Expression Non-Discrimination Act. TVCOG acknowledges that some information on your state ID may not be current, and will use the name indicated as preferred during the sign-up process. Please email info@tvcog.net with any questions.
Additional Member Information
First Name
Last Name
Email
Credit Card
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Billing Name and Address
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Emergency Contact Information