To apply for membership, complete application below, print and forward with membership fee to address at the bottom of this form.  You must be a member of FMCA to be eligible for membership.
Date    FMCA Membership #     CCI Membership #
His Name (first & last)   Birthday (MM/DD)
Her Name (first & last)   Birthday (MM/DD) 
Address      
City, State    Zip
Home Phone   Cell Phone   Other Phone   Work Cell Fax Other
 E-mail
Occupation (Current or Prior):    His     Retired?  Yes No
                                                 Hers   Retired?  Yes No
Hobbies/Interests:  His      
                              Hers    

*Country Coach model Tribute Inspire Allure Intrigue Magna Affinity Rhapsody Prevost Other      Year      Length

How would you like your name and city to appear on your badge?
His    Hers 
City 

I/we will abide by the camping code of ethics and rules and regulations of the club.

 ___________________________   ________________________    ____________
             His Signature                                      Her Signature                               Date

Each application shall be accompanied by a check for $50 ($25 initiation fee and $25 current year’s dues). The $25 for dues shall be waived if the application is received after November 1.  Print application, sign and mail with check payable to Country Coach Texans to:  Nick Caruso, 119 Pleasant Valley Dr., Boerne, TX  78006-5646.

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