Travel Goal Getter's All Fifty Club Application

Travel Blog

All Fifty Club

Member Record Holders

Travel & Goal Quotes

Name of Primary Traveler *

First

Last

Name(s) for Certificate: For example, John W. Smith, John & Nancy Smith, The Smith Family *

Is this a gift? *

Yes No

If this is a gift, enter your name here. Please indicate in PayPal the shipping address you would like the certificate mailed to. *

First

Last

If this a gift, what e-mail address should we use to contact you regarding this order? *

Traveler's Address *

Line 1

Line 2

City

State

Zip Code

Country

Email (will not be published) *

How many states have you been to? *

If you have been to all 50, what was your final state and when did you complete? For example, August 2014, North Dakota. *

Are you a possible Travel Goal Getter record holder or do you have a special designation? For example, camped in all states, 50 states by age 50, golfed in all 50. Please note if you would like this information included on your certificate. *

What is your all-time favorite place to visit? *

What are 1-4 of your most memorable travel experiences? Please share where you went and what you did. *

Are you eligible for the Traveler's Country Club? *

Are you eligible for our Continent Club? *

I give my permission for Travel Goal Getter, All Fifty Club, Traveler's Country Club, Continent Club to post my name, hometown, accomplishments, and anything I share on the Travel Goal Getter website, Facebook, E-newsletters, Twitter and/or Travel Goal Getter blog. If you select "No" your name will not be listed on our On-line Register of Members *

Yes No

As a member you will receive the All Fifty Club Travel Goal Getter e-newsletter (about once a month) that includes travel stories and travel tips, etc. I agree to receive these periodic (1-2 times a month) email communications. You can unsubscribe at any time. *

Yes No

Are you 13 years or older? If not, please have an adult submit your application. *

Yes No

Please read *

I agree to Travel Goal Getter Terms, Conditions, & Privacy Policy. Not all applicants will qualify and Travel Goal Getter reserves the right to include or not include members or applicants on our membership registers.*

ALL FIFTY CLUB membership application