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Name of Traveler
Name(s) for Certificate. If you are applying as a couple or group, include their names here. For example Tom J. Smith, Tom and Jane Smith, or The Smith Family. If you would like individual certificates, please complete an application for each traveler.
Email (will not be published)
How many countries have you visited?
Between 15-29 countries (Bronze Level)
Between 30 -49 countries (Silver Level)
Between 50 -99 countries (Gold Level)
100 or more countries (Platinum Level)
Which countries have you visited (countries listed are the most commonly visited countries)?
Optional: List other countries you have been to.
Are you a possible Travel Goal Getter record holder or do you have a special designation? For example, camped in each country visited, golfed in each country visited, stayed with a local family in each country, etc..
If this is a gift, enter your name here. Please indicate in PayPal what shipping address you would like the certificate mailed to.
E-mail for questions regarding gift membership
Are you eligible for our All Fifty Club?
No, less than 35 states
Yes, between 35 and 48 states
Yes, all 48 continental states
Yes, 48 states
Yes. 49 states
Yes, all 50 states
Are you eligible for our Continent Club?
No, 1 or 2 Continents
No, 3 Continents
No, 4 Continents
No, 5 Continents
Yes, Visited 6 Continents
Yes, Visited 7 Continents
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 13 years or older? If not, please have an adult submit your application.
I give my permission for Travel Goal Getter, All Fifty Club, Traveler's Country Club, Continent Club to post my name, hometown, and accomplishment on the Travel Goal Getter Register, Facebook, Newsletter, Twitter and/or Travel Goal Getter blog.
As a member you will receive the All Fifty Club Travel Goal Getter 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 .
I agree to Travel Goal Getter's Terms, Condidions, & Privay 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*
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