NAARVA MEMBERSHIP APPLICATION

I have enclosed $50.00:    Check: To apply for NAARVA  membership. Three (3) Years - $135   One (1) Year $50           Membership  Type: Family    Money Order:  Individual   Last Name : First Name: Spouse :  Email: Mailing Address Address Change? Member (s) at large: City : State:   Zip Code : (Area) Phone:   Charter Chapter  Affiliate Chapter RV Make RV Model RV Year RV Length OPTIONAL:  DATA BELOW NEEDED FOR NATIONAL ADVERTISING PURPOSES PLEASE CHECK THE APPROPRIATE AGE RANGE IN WHICH YOU FALL   40-50     51-60    61-70           71-75    76-85                                                           PLEASE INDICATE THE RANGE OF INCOME IN WHICH YOU FALL     50-60,000         76-100,000 101-150,000               OVER     Comments:             Please print this form and mail along with your check or money order to:  NAARVA National Headquarters, 614 Chipley Ave. Charlotte, NC 28205, Ph: 704-333-3070, Fax: 704-333-3071, Email: naarvainc@bellsouth.net Make your check or money order payable to: NAARVA, Inc. FOR NAARVA USE ONLY PROCESSED ____________Ck#______        or M/O______     Region _____________