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SOUTHEAST COUNTRY COACHERS



An affiliate of Family Motor Coach Association

You may enclose payment of $50.00 ($15 application fee plus $35 membership fee) with your application or mail your application, but pay now with PayPal. You DO NOT have to have a PayPal account. You may pay with Visa, Master Card, Discover, or American Express. 

New Members



MEMBERSHIP APPLICATION


*FMCA   MEMBERSHIP #____________________________________*REQUIRED*


NAME____________________________________________________________


PARTNERS NAME___________________________________________________


PRIMARY MAILING ADDRESS__________________________________________


_________________________________________________________________________________________________________


DATES AT THIS ADDRESS____________HOME PHONE______________________


CELL PHONE______________________PARTNER’S CELL____________________


ALTERNATE ADDRESS________________________________________________


DATES AT ALTERNATE ADDRESS________________________________________


EMAIL____________________________________________________________


PARTNER’S EMAIL___________________________________________________

ADDITIONAL INFORMATION

COACH MODEL________________________LENGTH_________YEAR_________

COACH COLORS_____________________________________________________

NAME TAG INFO: names & town, if different from above____________________

__________________________________________________________________

FEES:  MEMBERSHIP FEE OF $15 PLUS ANNUAL DUES OF $35 = $50 FIRST YEAR.

Mail to:
George  Sanders, Treasurer      
3800 Montevallo  Rd
Unit D
C: 205-914-6148
Email: gsander1@gmail.com

Questions?        Email   SEcountrycoachers@gmail.com