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GMC GREAT LAKERS MOTORHOME CLUB, INC. |
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CHAPTER OF
FMCA |
APPLICATION FOR MEMBERSHIP
MEMBERSHIP
REQUIREMENTS: 1) Ownership of at least one-third of a class "A"
"TZE" GMC Motorhome.
2) Full membership in good standing of the
Family Motor Coach Association.
Please type or print legibly with black pen
NAME________________ ________________ ________________
(Last) (First) (Spouse's
Name)
ADDRESS_______________________________________________
________________ ________________ _____________
(City)
(State) (Zip code + 4)
TELEPHONE #______________________FMCA # ____________
(Area code & Number) -
E-MAIL ADDRESS____________________FAX #_____________
WINTER ADDRESS______________________________________
________________________________ ______ _______________
(City)
(State)
(Zip code +4)
TELEPHONE #__________________
(Area code & Number)
GMC CLASS "A" MODEL
"TZE" VICHICLE IDENTIFICATION NO.____________________
_
MODEL AND YEAR ___________________________________
LENGTH_______________
RECOMMENDED FOR MEMBERSHIP BY:
________________________________________
PLEASE COMPLETE THE ABOVE AND FORWARD
WITH YOUR CHECK FOR $50.00 (U.S FUNDS)
(INITIATION FEE OF $25.00 AND ANNUAL DUES OF
$25.00) MADE PAYABLE
TO GMC GREAT LAKERS MOTORHOME CLUB, INC. TO:
GMC Great
Lakers Motorhome Club, Inc.
%Richard
Wilson
139 John Street
Plain City, Ohio 43064-1216
SIGNATURE OF
APPLICANT__________________________________________ DATE_____________
_________________________________________ __________________________________________
(Treasurer)
(Secretary)
_____________________________ ______________________________
(Date) (Date)
Form Revised 1106