MICHIGAN KNIGHTS OF THE HIGHWAY, INC.
MEMBERSHIP / RENEWAL APPLICATION
(Information will be used for the next directory.)
MAKE CHECKS PAYABLE TO: MICHIGAN KNIGHTS OF THE HIGHWAY
MAIL TO: Sally
Sutton
2930 Five Lakes Rd
Metamora
MI 48455-9365
Applicants must be members of the Family Motor Coach Association (FMCA).
FMCA # _____________________ Date of Application
___________________
rNew - $20.00
rRenewal Before 3/31/2010
- $15.00 r Renewal After 03/31/2010 - $20.00
rExtra Years
added to any of the above - $15.00 / Year
_______________________ _____________________
__________________
Last Name
First Name
Spouse's First
Name
___________________________________ ____________________________
Home Address
City
________ ___________ ________________
________________________
State
Zip Code
Telephone Number
E-mail Address
_________________________________________________________________
* SUMMER MAILING ADDRESS (If different from above)
__________________________________ ____________________________
Home Address
City
________ ___________ ________________
________________________
State
Zip Code
Telephone Number
E-mail Address
_________________________________________________________________
* WINTER MAILING ADDRESS (If different from above)
__________________________________ ____________________________
Home Address
City
________ ___________ ________________
________________________
State
Zip Code
Telephone Number
E-mail Address
Dates for Winter Mailing: Start ________________ Thru
____________________
NEW members are entitled to (2) identification badges. Please list
the names you wish
on them (shortened or nicknames OK) ________________ __________________
First Name
Spouse
Check badge style you wish: Oblong/rectangle (new style)
Lower Michigan (old style)
If you wish to order replacement or extra badges for children or guests ($4.00)
________________ ________________ _______________ _______________