MEMBERSHIP APPLICATION ROCKY MOUNTAIN CHAPTER OF RVW 2549 Mt. Vernon St. Colorado Springs, CO 80909-2437
Name:____________________________	Address:___________________________________
(Please Print)	City: _______________________________________
	State: ___________ Zip:__________________
RVW Member Number:______________	Phone ____-___________
RVW Membership Expires? __________ (date)	Email Addr_________________________________
I hereby certify that I am a current member of RVing Women (RVW).
Signature_____________________________	Today's Date:_____________________
To help the Chapter plan activities, please provide the following information:
___ Trailer	Length: _______  No. Slideouts: R ____ L ____
___ Fifth Wheel	Length: _______  No. Slideouts: R ____ L ____
___ Motor Home - Class (A, B, C?) ________	Length: _______  No. Slideouts: R ____ L ____
___ Truck Camper, Van, Tent	Which? __________________________
Do you tow a vehicle to events? ___________	Do you need 50 amp service? ___________
Do you travel with pets?__________________	Number and pet type: _____________________
Describe any special needs or preferences: (... need handicapped site, prefer pull through site, etc.)  __________________________________________________________________________________ __________________________________________________________________________________
TO JOIN THE ROCKY MOUNTAIN CHAPTER OF RVW, PLEASE RETURN THIS APPLICATION TO THE ADDRESS AT THE TOP OF THIS PAGE. INCLUDE YOUR CHECK FOR $5 MADE OUT TO: RMCRVW.