FMCA Covered Wagons
Application for Membership
Please fill in the blanks. Also please enclose or e-mail a digital photograph
of you for the pocket directory book which you will receive as part of your
dues every year you are a member. (If you don't have a photo - we will take one
at your first rally).
According to our Standing Rules #3: Prospective members shall attend two
regularly scheduled chapter business meetings in a 12-month period. If they are interested in joining the
Chapter, they will submit an application for Membership and then be voted on at
the second meeting……If they are accepted for membership, they will submit their
annual Chapter dues at that time and receive all Chapter benefits to which they
are then entitled.
Thank you and welcome to our chapter!
FMCA #__________________(Must be a member in good standing w/FMCA)
Name(s):______________________________________________________________________
(This is how your
names will appear on your name tags so please print clearly)
Address:
Home phone: _______________________________
Cell Phone: (optional) His:_________________________ Hers:________________________
E-Mail address:
_________________________________
Birthday: (day and month only)
(His)____________________(Hers)_______________________
Anniversary: (day, month and year) _____________________Number of
Children:________________
Native State:
(His)_________________________________(Hers)___________________________
Present or Past Occupation: (His) _________________________ (Hers)
_______________________
Hobbies:
(His)___________________________________________________________________
(Hers)___________________________________________________________________
Make, Model, Year & Length of Motorhome:______________________________________________
Approximate year you started RVing: ________________
Pets (breeds and names) traveling with
you:________________________________________________
Emergency
Contact:_______________________________________________________________
Comments:______________________________________________________________
If accepted for Membership in the Covered Wagons, please remit $20.00 dues
($15.00 if you have e-mail available) and add $5.00 per nametag. Make check
payable to Covered Wagons. Thank you!
Return to: Covered
Wagons
Date approved:______________________
% Bill Keegan
3049 SW 45th Street
Topeka, KS 66610