Saco River Ramblers

Mount Washington Valley

 

Membership Application

Saco River Ramblers Good Sam Chapter
 
 
 

Registration Form

Last Name:_______________________

First Names: _________________and________________

Date of Birth: ___________________ __________________

Anniversary date:__________________

(These dates are one for greetings in the newsletter)

Good Sam Membership #_________________expiration date____________

P.O. Box_____ Street Address____________________________

Town, State,Zip________________________________________

Telephone:___________________cell phone_________________

E-Mail address:_________________________________

Camping Rig:_____________________ _______Length:_________

Number of slides______

Dues to Good Sam International dues must be paid before joining a chapter.

you can join on-line at

www.goodsamclub.com

Saco River Rambler Chapter dues are $10 per family per year.

Check payable to Saco River Ramblers and mail to

Judith E. Botsford, President

PO Box 215 Jackson, NH 03846