www.oregonrvingwomen.org Oregon Chapter of RVing Women 2010 Dues and/or Membership
National RVW #: _______________ EXPIRATION DATE ____________
(This # is on your RVing Women membership card. Renewal is yearly. You must have this)
Name #1: __________________________________ Birthday: Month & Day_________
Name #2: __________________________________ Birthday: Month & Day ________
Mailing address: ____________________________ City, State, Zip ________________
Phone #:_____________________ Cell Phone #: _________________ (if you wish to give)
Email address: ______________________________
Type of RV: ________________________________ RV Length: _______ # of Amps ______ (Motor home; 5th wheel; trailer; van; truck; camper; tent)
License # for RV:____________________ Slide out (Y or N): How Many? ______
Towed or Towing Vehicle (Y or N): License # for tow vehicle: ________________
Oregon Chapter of RVing Women Dues: Membership year is January 1 to December 31. Annual dues are $5.00 per person.
Membership Dues ($5.00 per person) $_______________
$5.00 New membership processing fee: $________________ This is a one time fee for each new member
Donation to ORVW (NOT tax deductible) $________________
Total (U S Funds Only) $________________
Please mail this form with your payment & corrections to: Patricia Cole, 4124 Cordon Rd NE, Salem, OR 97305. Phone 503-364-0965 Email: ClassCLady@comcast.net Make check payable to “ORVW”. |