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| 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:
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| Amount Enclosed: | ||
| Check # Amount: (cash) |
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| (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.
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