Enter Your Data for Your Club Here

After filling the details click on the SUBMIT button.

  Club or Group #/Name:
  Date: YYYY/MM/DD:
  First Name:
  Middle Initial:
  LAST Name:
  Maiden Last Name if applicable:
  Sex:  Not identified
  Saluation-Mr. Mrs. Ms. Miss Dr. etc.:
  Home Telephone #:
  Business Telephone #:
  Business Ext. #:
  Home Email:
  Business Email:
  Other Email:
  FAX Number:
  Street Number:
  Street Name:
  Street Type:
  Street Direction:
  P.O. Box #:
  Suite/ Apt #:
  Prov./ State:
  Postal Code/ ZIP:
  Cell Phone #-Personal:
  Cell Company above:
  Cell Phone #-Business:
  Cell Company Business:
  Your Website-Business:
  Your Website-Personal:
  Facebook Address:
  Twitter Address:
  Other Social Media:
  Your Birthdate YY/MM/DD:
  Martial Status:  Single
 Common Law
 Not identified
  Work Street #:
  Work Street Name:
  Work Street Type:
  Work Street Direction:
  Work Suite Number:
  Work Dept. / Floor etc:
  Your Title at Work:
  What is your job/ employment:
  Your Employers' Company Name:
  Work City:
  Work Prov. /State:
  Work Postal Code/ ZIP:
  Comment #1:
  Comment #2:
  Country of Birth:
  Country of Citizenship:
  Country of Residence:
  Mother Language:
  Language at Work:
  Language at Home:
  Make/Model/Yr of Automobile:
  License Plate #:
  Prov. or State Auto License Plate:
  Work Admin. Name:
  Work Admin Tel. #:
  Work Admin Cell #:
  Work Admin Email:
  Person Submitting this form:  I am submitting personally
 Spouse or other family member is submitting
 Other person is submitting
 Not Identified
  Name of Person Entering Data if not same person:
  Telephone # of Person Above:
  Email Address of Person Above:
  Reason why submitting for the other person?:
  Future Use Create a PIN:
  Future Use Confirm Choice of PIN:
  Future Use Register User Name of Your Choice:
  Rep/ Agent ID#:

After filling the details click on the SUBMIT button.

trinity_mobile_logo_2D_2015Trinity Mobile Application Technologies Inc. 



Get our App on Amazon now

Coming Soon for iPhone iOS

                                                                Coming Soon on Google Play






Join This Club.com


Trinity Tourism Radio 

Our North American Sales & Administration offices are located in Saugeen Shores Ontario and Barrie Ontario and Toronto Ontario 416 2 7 1 7 7 5 2      FAX # 416  900 3856   HQ  Administration Text  416 271 7752

  Site Map