Safari International Membership Application | USA and Canada Motorhome Club

Membership Application

Fill out the form below to pay online or click here for a fillable PDF application form that you can print and mail with your check.

Membership Application Form

Click & Scroll the Pull-Down menu to select your option.(*)	Invalid Input	* Membership Requirements - Current or previous owner of a Safari motorcoach and current motorcoach owner and FMCA member. For reinstatement of membership - previous member of Safari International and current motorcoach owner and FMCA member.
FMCA membership # F:*()**	Please enter your membership number. Example: 1234. DO NOT include an "F." The "F" is already in the field by default.
Pilot's first and last name(*)	Invalid Input
Copilot's first and last name (optional)	Invalid Input
	Please provide your primary mailing address information.
Street(*)	Invalid Input
City(*)	Invalid Input
State(*)	Invalid Input
Zip(*)	Invalid Input
Home phone(*)	Invalid Input
Cell phone	Invalid Input
Dates at this address(*)	Invalid Input
E-mail address(*)	Invalid Input
List in Directory?*()**	Yes No Invalid Input
Home state if different from mailing address	Invalid Input
	Please provide your secondary mailing address information.
Street	Invalid Input
City	Invalid Input
State	Invalid Input
Zip	Invalid Input
Home phone	Invalid Input
Cell phone	Invalid Input
Dates at this address	Invalid Input
E-mail address	Invalid Input
List in Directory?	Yes No Invalid Input
Are you a new member?*()**	NoYes Invalid Input
Order badges?*()**	NoYes Invalid Input
	Coach information is required of new members.
Coach manufacturer and model(*)	Invalid Input
Coach year(*)	Invalid Input
Coach length *()**	Invalid Input
Vin No. (last 6 digits only)*()**	Invalid Input
Date purchased(*)	Invalid Input
Number of children under 18(*)	Invalid Input
Full-time RVers(*)	Yes No Invalid Input
Retired(*)	Yes No Invalid Input
	Name Badge (1 per person) - Please type your name as you want it to appear. Badges are $10.00 each.
	Name badges (1 per person) are FREE ONLY with your initial 2-year paid new membership or with the first renewal of your initial 1-year paid new membership. Please type your name as you want it to appear.
Please select badge(s):	$ 10 - 1 Badge$ 20 - 2 Badges Invalid Input
Pilot's first name (or nickname) and last name	Invalid Input
Pilot's town and state (optional)	Invalid Input
Copilot's first name (or nickname) and last name (optional)	Invalid Input
Copilot's town and state (optional)	Invalid Input
How did you hear about us?	Invalid Input
Total	USD 0.00
*()**	Invalid Input