Subject: Membership Application

Name:

Class:

Nickname for nametag:

Spouse's Name:

Spouses's nickname for nametag:

Address: (required)

Home Phone:

Cell Phone:

Email: (required)

Spouse's Cell Phone:

Spouse's Email:
]

Type of Rig:

Hobbies/Interests:

Pets that travel with you:

Send $15 joinup fee to the Treasurer

Dale Gange
14518 Black Bear Rd.
Palm Beach Gardens FL 33418

. Please make check payable to : USNAAA RV Chapter.

The $15 gets you two nametags, two RV chapter decals for your vehicles, one year's dues, and a chapter roster. Annual dues are $5 thereafter. What's not to like?!

Dale will order and ship the nametags and decals to you.