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The "Northern Arizona Area" Winnebago Itasca Travelers (WIT) Chapter
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APPLICATION FOR MEMBERSHIP
YAVAPAI WINNIES
LOCAL CHAPTER OF WINNEBAGO ITASCA TRAVELERS


DATE:_____________________

NAME: ____________________________________________WIT NO:____________

SPOUSE / SIGNIFICANT OTHER:__________________________________________

ADDRESS:____________________________________PHONE:___________________

CITY:________________________STATE:__________ZIP CODE:_____________

E-MAIL ADDRESS:________________________________________________

MOTORHOME (Model) _____________________________________________ LENGTH _______________

Optional
BIRTHDAY: HIS___________(mo/day) HERS_____________(mo/day) ANNIVERSARY______________(mo/day/yr)

You must be a member in good standing (current dues paid) of Winnebago-Itasca Travelers (WIT) in order to join the Yavapai Winnies RV chapter.

Payment of $20 ($10 for 1st year annual dues + $10 for initiation fee which includes logos).
Write check to: Yavapai Winnies

Print a copy of this page, fill out form, include check and send to YW Treasurer below:
Sharon S. Phelps, YW Treasurer
8480 N. Live Oak Drive
Prescott AZ 86305


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