I dropped them a note about that error and this is what I got back from them.
"There is a problem with our application form page. Our web host and ISP has installed new hardware that has made our forms inoperable. As is noted on the application page, you can join the TLC Club by e-mailing me your full name (including middle initial), your address, your phone number and your birth date. When I get that information from you, I'll enroll you in the club and send you your club card. Judy Warmanen Public Relations"

So I emailed the info...I'll let you know when the card arrives.