|
|
|
| YEARLY MEMBERSHIP DUES: |
$35
|
|
|
TOTAL:
|
$35
|
|
| FOR YOUR CLUB FLAG AND 4" MULTI-COLORED JACKET PATCH ($35 VALUE) ADD $25 (OPTIONAL) |
$25
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TOTAL (Dues + Flag & Patch):
|
$60
|
*Indicates Required Information
*NAME:_________________________________________________
*ADDRESS:______________________________________________
________________________________________________________
*CITY:___________________________________________________
*STATE/PROVINCE:_______________________ *COUNTRY:_________________
ZIP/POSTAL CODE:____________________________
*PHONE:______________________________
*E-MAIL ADDRESS:___________________________ (Required for email payment receipt only)
*VISA / MASTERCARD #____________________________________
*EXPIRATION DATE:_____________________________ * CVV#_________
RECOMMENDED BY:______________________________________
CANADIANS: To help us serve
you better, Please 1) Use a Visa or MasterCard, or 2)
Purchase a Money Order through a US Bank, or as a last resort, 3)
Write a Personal Check pre-printed "US Funds".
*The CVV code is the 3 digit security number on the back of your card. It is required for any transaction where the card is not present.
MY TOYS INCLUDE (CIRCLE EACH - FILL IN BLANKS)
| 1. | TRAILER BOAT - POWER | 6. | CARTOPPER | 11. | 4WD/OFF-ROAD |
| 2. | TRAILER BOAT - SAIL | 7. | MOTORHOME | 12. | |
| 3. | TRAILER BOAT - LARGE | 8. | TRAV. TRAILER | 13. | |
| 4. | SAIL BOAT - LARGE | 9. | CAMPER | 14. | |
| 5. | SAIL BOARD | 10. | VAN | 15. |
PREFERRED ACTIVITIES (CIRCLE)
| MEXICO | ALASKA | EXPLORING | ||
| BAJA CALIFORNIA | OCEAN | CRUISING | ||
| PACIFIC NORTHWEST | LAKE | BARBECUES | ||
| PACIFIC COAST | RIVER | DINNER DANCE | ||
| CANADA | FISHING | FISHING TOURNAMENTS | ||
| ADVENTURE TOURS | DIVING | ALL OF THE ABOVE! |
| YES | |||
| MAGAZINE | WHICH ONE? | ||
| NEWSPAPER | WHICH ONE? | ||
| BOAT / RV SHOW | WHICH ONE? | ||
| FRIEND | |||
| FORMER MEMBER | NUMBER? | ||
| INTERNET SURFER | WEBSITE? |