GMC
Sunshine Statesmen
Chapter of the F.M.C.A.
Application for Membership
This club is dedicated to the preservation of the classic GMC (TZE) Motorhome.
It exists to
provide a forum for the support and enhancement of these motorhomes.
Membership
Requirement:
You must own a titled,
registered, and insured GMC Motorhome (with TZE Serial Number), and be (or
become)
a member of the Family Motor Coach Association.
SEE CONSTITUTION AND BY-LAWS
FOR A FULL DESCRIPTION OF THE RULES!
Please COMPLETE the form to assure
accuracy in YOUR data. Type or print legibly with a black pen
Last Name:
_______________________________ First Name: __________________________
Spouse/Companion: __________________________________ Anniversary (M/D):
___________
Birthday (M/D)
_______________ Spouse Birthday (M/D): ___________
Street Address:
________________________________________________________________
City:
_________________________________ State: _____ Zip(+4): ______-_________
Phone:
(_____)_______________ Fax: (_____)_______________
Cell Phone:
(_____)_______________ Newsletter via email (Y/N) _____
Email:
______________________________ FMCA Number: F-_______________
GMC Year:
______ Model: ______________ TZE-________________
Summer/Other Address:
Street Address:
___________________________________________________________
City:
_______________________________ State: _____ Zip(+4): _________________
Phone: (_____)
_______________ Fax: (_____) _______________
Make checks
payable ($45.00) to: GMC Sunshine Statesmen
Mail to: Sam Carson
(Secretary/Treasurer) One time initiation fee $25.00
100 Cat Cay
Lane Annual
Dues: $20.00
Indian Harbour Beach, FL 32937-4413 Total:
$45.00
Phone:
(321) 773-5043
Email:
scarson@attglobal.net
Names or Nicknames to use on your GMC Sunshine
Statesmen badges:
#1: _____________________________ #2:
_____________________________
Signed: ____________________________________________ Date: __________________