Winnebago-Itasca Travelers
PO Box 268
Forest City, IA 50436-0268
1-641-585-6874; 800-643-4892
FAX 641-585-6703
Name _________________________ Spouse/Companion _______________________
Address ___________________________Telephone No. _______________________
City ___________________________________State _________ Zip ______________
Email Address ____________________________Cell No. _______________________
Coach Serial No.
(Begins with 10, 15, 70 or 80 and has 11 or 12 digits ______________________________
___ Personal Check/Money Order (Canadian residents must pay in U.S. funds or equivalent thereof)
___ Visa/MasterCard/Discover Card No. _______/_______/_______/_______
Expiration date________
New Membership
___ $35.00 - One Year
___ $55.00 - Two Years
___ $70.00 - Three Years
Renewals/Reinstatements - WIT No. ___________________
___ $30.00 - One Year
___ $50.00 - Two Years
___ $65.00 - Three Years
Membership sponsored by ___________________________
WIT No _____________
(Not necessary for membership) |
