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Membership Application
MCI International Chapter of FMCA

Please mail applications to:
Betty Snyder
Post Office Box 148 - Emlenton, Pennsylvania 16373
Phone: (724) 867-6701

Application Date:
Renewal Date:
You must be a member of the Family Motor Coach Association
FMCA No. F
Names:
Address:
City/State/Zip:
Phone:
Alternate Address:
City/State/Zip:
Phone:
Cell Phone:
e-Mail:
New Applicants - Please list the names you would like to have on your badges:
His: Hers:
MCI Coach Model and Serial No.:
Amount Enclosed:
Check #                     Amount:                    (cash)
Dues
(New Members) Couples Single
Initiation Fee $25.00 $15.00
Annual Dues-year $15.00 $15.00
Totals $40.00 $30.00
Dues of $15.00 to be paid on an anual basis on January 1st, or at a rate of $60.00 for four (4) years with the fifth (5th) year free. New applicants include initiation fee plus the membership does.
Please make checks payable to: MCI International
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