Membership Application

 

 

METROPOLITAN CHAPTER APPLICATION

No person may be a member of the Metropolitan Chapter of FMCA unless he/she is a member in good standing of FMCA (Family Motor Coach Association). Application for membership in FMCA may be made simultaneously with application for Metropolitan Chapter.

Name: ______________________________________ FMCA #: ___________ Expiration date:______

Address: ________________________________ City: _____________________________ State: _________ Zip:_________

Telephone number: (___)_________________Cell phone (optional): ( ) ______________

E-Mail address: ________________________________ Coach Length: _______ Coach Make: ____________________________ Coach Model: _______________________

Dues are $10.00 annually. Please make check payable to Metropolitan Chapter of FMCA and mail to:

Jim Kelly, 56 Stuart Rd., Cortland Manor, NY 10567

New application? ____ Renewal? ____

Signature: _______________________________________

______________________________________________________________________________

BADGE ORDER FORM

Name ___________________________ Name __________________________

F# ----------------------------

Address-----------------------------------------------------------------------------

City-------------------------------------State-------------------------------

ZipCode____________________

Badges are finished with pin, clip and bolo tie @$10.00 each and includes 1st class mail

shipping.

Mail Orders to: SPECIALTY ENGRAVING COMPANY

134 BATEMAN LANE

LOUDIN, TN 37774-7323

CALL 865/986-4147 FAX 865/986-7920 E-MAIL SpecialtyEngraving@juno.com

*Please note this is a new address, new numbers and a new price.