Roadtrek International Chapter Fmca / A Roadtrek Owners' Club Membership Forms - Roadtrek Sprinter Owner's Manual

roAdtrek InternAtIonAl ChApter FMCA
please print
Last Name __________________ First Name ________________ Spouse ____________________
Address ____________________ City ______________________ Prov/State __________________
Country ____________________ Postal/ZIP Code ____________ Phone: ( ) __________________
FMCA# ________________ If you are not currently a member of the Family Motor Coach Association,
please complete the FMCA Membership Application Form below. w
I C
nternAtIonAl hApter ApplICAtIon untIl you Are An
separate envelopes today. FMCA members send only the Roadtrek application form and check.
I/We would be interested in helping run the Chapter.
I/We would be interested in serving as an elected officer.
Please enclose $10.00 in U.S. funds. note: The Chapter cannot accept credit cards.
Mail application and fee to: Becky Hartley, Chapter Treasurer, Email: johnbeckyhartley@sbcglobal.net
231 W. Washington St. Nelsonville, OH 45764-1138 Telephone: (740) 753-1066
please print
Last Name __________________ First Name ________________ Spouse ____________________
Address ____________________ City ______________________ Prov/State __________________
Country ____________________ Postal/ZIP Code ____________ Phone: (
E-mail Address ______________ Coach Manufacturer: Roadtrek Motorhomes
Model: ______ Roadtrek year:_______ length: ________license plate number: __________________
I have applied for membership in the roadtrek International Chapter of the Family Motor Coach Association.
( ) If you are a former member, check here.
____________________________________
Occupation or former occupation, if retired.
How did you hear about FMCA?
____________________________________
If referred by an FMCA member, please list
his/her name and member number
Return application and fees to: FMCA Membership Chairman, 8291 Clough Pike, Cincinnati, OH 45244-2796. Telephone (513) 474-3622
Doc No: 21906540-RSAD Rev: 02
A roAdtrek owners' Club
MeMbershIp ApplICAtIon
Make check or money order payable to "roadtrek International".
[ Cut and mail in separate envelopes ]
FAMIly Motor CoACh AssoCIAtIon
MeMbershIp ApplICAtIon
Copyright © Roadtrek Motorhomes Inc. 2010
e CAnnot proCess your
FMCA . Mail both forms and checks in
MeMber
______ Yes
______ Yes
I enclose $45, (payable in U.S. funds) for a Full/Family
membership, (includes membership identification emblems.).
The $45 is composed of a $10 initiation fee, $30 for one year's
membership fee, and $5 for a one-year subscription to Family
Motor Coaching magazine. I understand that upon acceptance
of my application, I will be sent a copy of the FMCA Code of
Ethics. I agree to read and abide by this code, which represents
all our endeavors to be good neighbors, careful and responsible
coach owners and operators, and good citizens of our
communities.
Signed:____________________________________________
Make check or money order payable to: FMCA, Inc.
Please charge my
Mastercard VISA
Card # ______________________ Exp. Date ____________
Signature. If charged, must sign here.
__________________________________________________
date
______________
r
oAdtrek
______ No
______ No
date
________________
) ______________
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