Membership / Renewal Application

Black Tie Club International

Gary Dougan, International President, 510-381-8182 btciprez@gmail.com Mike Gin, Treasurer, 310-387-0462 mikegin@me.com

You are invited to be a member of the Black Tie Club International – a private, international club of professional people. Membership is by invitation only on a yearly basis. All members receive notices of local cocktail parties and dinners as well as our International Annual Convergence, special trips and our International Magazine.

Al Castrucci, President of Palm Springs Chapter

BTC EMAIL: info@palmspringsblacktie.com

IMPORTANT: Please fill out form and mail check payable to “Black Tie Club Palm Springs” before December 31, 2025 to:

Al Castrucci

2411 N Star Rd.

Palm Springs, CA 92262

Zelle payment to Al Castrucci – 941-504-7125

Single membership dues $100.

Couple membership dues $200.

Black Tie Club International sponsors various dinners and events, and photos of those attending are often taken for publication in the BTCI publications. Members need to recognize that their image from these events may be included in the publications. If any member does not want their photo included in a publication, they should not pose for any photo and they should also advise anyone taking these photos to not include them

2025 Membership / Application
This application is a (please choose one)
Member 1
Member 1
First Name
Last Name
Member 2
Member 2
First Name
Last Name
Primary Address
Primary Address
City
State/Province
Zip/Postal
Other Address (complete this section to receive newsletters and other club notices at a seasonal or other mailing address)
Other Address (complete this section to receive newsletters and other club notices at a seasonal or other mailing address)
City
State/Province
Zip/Postal
I (We) would like to accept your invitation to be 2025 member(s) of the Palm Springs Chapter of Black Tie Club Int’l