FLXIBLE OWNERS INTERNATIONAL

MEMBERSHIP APPLICATION [_]

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CHANGE OF ADDRESS [_]

Name (Last, First) ______________________________ Spouse's Name ________________________

Address: (Number, Street, City, State/Prov, ZIP, Country)

____________________________________________________________________________________

Phone (Landline) (______)_______-_______ Cel (______) _________-________

Email Address: _____________@_________.___________

Do You Presently Own A Private Motorcoach?

Clipper/Visicoach [_]

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VL-100 [_]

.

Hi-Level [_]

.

Flxliner [_]

.

City [_]

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Other [_]

Your Signature: ____________________________________

FOI Number: __________________

If applying for membership, please enclose your check for dues. Dues are $40.00 per 2 year period, and are assessed from 1 July even year to 30 June next even year. Dues are prorated for members joining between anniversary dates at $1.66 per month for remaining months to end of current period - ie, if 15 months are remaining, please remit check for 15 X $1.66 = $24.90.

Membership is open to any Flxible owner or enthusiast, although you must own a Flxible to qualify as a voting member. Associate members not owning any Flxible products are welcome. Dues are the same.

Please mail completed application, with dues check, payable to flxible owners international,to club treasurer,

Peggy Petersen,
27296 Road 140,
Visalia CA
93292-9682 USA

email: pnutdry at aol dot com