Tallahassee PrimeTimers Membership Form
Thank you for your interest in joining or renewing your membership! Please fill out this form, and then submit your payment on the following page.
First Name *
Last Name *
Nickname
(if you go by a name other than your first name above)
Email *
Your address *
Please note: your address will remain private and will not be included on the roster or sent to any member unless you decide to host an event.
Roster
Keep checked to be included on the Roster
Publish Phone
Keep checked to publish your Phone number on the Roster
Publish Email
Keep checked to publish your Email address on the Roster
Hide Last Name
Check to publish only your last initial and not your full last name on the Roster
Birthday Month *
Birthday Day *
Tell us about yourself
(optional) Write a sentence or two about you and your interests, what you do for fun, etc. This will be included in the rosters that are sent out to the membership periodically.
Dues Amount *
Select $42 to add a donation to help cover credit card fees, or $40 to pay for just your dues. If you are renewing for two people in your household, choose $80 or $84.
Optional Donation
If you would like to make an optional donation to the club, enter the additional amount you would like to donate here. It will be added to the Dues Amount you selected above. (Donations are NOT tax-deductible)
How would you like to pay? *
I have read and understand the privacy notice on the Tallahassee Prime Timers Website, I am 21 years or older, and I understand that I am joining a social club for adults who identify as gay or bisexual men. *
