To join our Club, print and hardcopy mail this form with your check to the address below
“May the Wind be Always at Your Back”
APPLICATION FOR MEMBERSHIP
DATE: _______________________ FMCA # ________________ REQUIRED
CCI # __________________ REQUIRED
Your Name ___________________________________________________________
Partner’s Name _________________________________________________________
To be a member of the Country Coach Nor’Easters Club, you must:
- Be a member in good standing of Family Motor Coach Association (FMCA)
- Be a member in good standing of Country Coach International (CCI)
- Be a resident of the Northeast (as defined by Country Coach International) States included are: DE, NJ, CT, RI, MA, MD, NY, PA, VT, NH, ME & NORTHEAST PROVINCE OF CANADA (NEW BRUNSWICK, QUEBEC AREAS)
PRIMARY MAILING ADDRESS
Street _________________________________ City __________________________
State ________________ Zip ____________
Residence Phone ( ) _________________ Business Phone ( ) _______________
E-Mail Address ________________________________ Cell Phone ( ) ___________
Dates at this address _______________________________________________________
ALTERNATIVE MAILING ADDRESS
Street _________________________________ City___________________________
State _________________ Zip ____________
Residence Phone ( ) _____________ Dates at this address _____________________
INFORMATION
Coach Model _______________________ Length _____________ Year __________
Hobbies/Talents _______________________________________________________
_______________________________________________________
Your Signature _______________________________
Partner’s signature _______________________________
Membership fee is $25.00 (Calendar year). Check payable to “Country Coach Nor’Easters” should be sent to Marilyn Saunders, 108 Canterbury Court, Carlisle, MA 01741
DUES FOR COUNTRY COACH NOR’EASTERS
ARE CURRENTLY $25 PER YEAR PAYABLE IN ADVANCE
IN SEPTEMBER (FOR THE FOLLOWING CALENDAR YEAR)
Checks for renewal dues should be made payable to Country Coach Nor’Easters and mailed to Marilyn Saunders, 108 Canterbury Court, Carlisle, MA 01741.
(Members should make note of the September due date as notices are not sent out) |
