Membership Application

 

The online payment form has been returned to its' normal configuration and supports our transition to a calendar year renewal process. UNFORTUNATELY, our website software is having a tummy ache right now and the "Captcha" module does not work correctly....we are working hard to get this corrected, but for now you may need to print out the PDF Membership form at the link provided below and use a stamp to send your renewal by snail mail.  I don't have a good estimate for when this function will be repaired at this time....

 

To pay online, please fill out the form displayed on this page -OR- click  HERE for a fillable PDF application form that you can print and mail with your check (if you prefer).


Membership Application Form
Select your option.(*)
Gotta choose an option.....either you're a New Member, or you're a Renewal - select which one and for how long.
* Membership Requirements - Current FMCA member and owner of a qualifying recreational vehicle. For reinstatement of membership - previous member of Safari International, current FMCA member and owner of a qualifying recreational vehicle.
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?(*)
Invalid Input
Home state if different from mailing address
Invalid Input
Please provide your secondary mailing address information.
Street
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City
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State
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Zip
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Home phone
Invalid Input
Cell phone
Invalid Input
Dates at this address
Invalid Input
E-mail address
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List in Directory?
Invalid Input
Are you a new member?(*)
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Order badges?(*)
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Coach information is required of new members.
Coach manufacturer and model(*)
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Coach year(*)
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Coach length (*)
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Vin No. (last 6 digits only)(*)
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Date purchased(*)
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Number of children under 18(*)
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Full-time RVers(*)
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Retired(*)
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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):
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Pilot's first name (or nickname) and last name
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Pilot's town and state (optional)
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Copilot's first name (or nickname) and last name (optional)
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Copilot's town and state (optional)
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How did you hear about us?
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Total USD 0.00
(*)
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No PayPal Acc't required...
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