M E M B E R S H I P A P P L I C AT I O N Date: ____ /____ /____ Name ________________________________________________________________________________________________________ Company ____________________________________________________________________________________________________ Address _____________________________________________________________________ P.O. Box ____________________ City______________________________________________________ State ____________________ Zip______________________ Phone __________________________________________________ Fax ________________________________________________ Email ____________________________________________________ Website __________________________________________
MEMBERSHIP DUES* RV dealer (rolling stock retailer-$499)* Rental association (RV rental only -$230) *Dealer members add $140 Aftermarket (RV service, parts & accessory retailer only) - $224 Branch membership of RVDA member (each additional location - add $299) *(California dealers add $200 for CalRVDA membership) *(Arizona dealers add $129 for ARVDA membership) Total enclosed: METHOD OF PAYMENT
q Check (payable to RVDA) q VISA
q MC
q AMEX
DUES AMOUNT
______________ ______________ ______________ ______________ ______________ ______________ ______________
q DISCOVER
Card # __________________________________________________ Exp. date ______________ Security code ______________ Cardholder________________________________________ Signature ________________________________________________ Sponsor's name (if applicable) ________________________________________________________________________________ MAIL THIS APPLICATION TO: RVDA, 3930 University Dr., Fairfax, VA 22030-2515 or FAX to (703) 359-0152 • info@rvda.org Questions about RVDA benefits? Call our member service hotline: 1-888-687-7832 or go to www.rvda.org RVDA dues are not tax deductible as a charitable contribution; however, dues may be deductible as an ordinary business expense.
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