(Use this form for NEW memberships and RENEWALS if there are changes to be made) SOUTH CENTRAL BUS NUTS - MEMBERSHIP FORM  Dues payable each January 1  Please Indicate: New Member $25.00 Renewal $15.00 Last Name:__________________________________ FMCA # ______ His First _________________________________Her First___________ Street Address ___________________________________________ City State Zip ___________________________________________ Home Phome(_____ _________________________________ Cell Phone (OPTIONAL)_____________________________ E-Mail Address (OPTIONAL)_________________________ Coach Type Year _______________________________________   Would you like to recieve corespondence including Newsletters and Rally Information via email?    _____ Yes          _____ No,  via USPS mail only PLEASE REMEMBER YOU MUST MAINTAIN YOUR FMCA MEMBERSHIP TO BE A MEMBER OF SOUTH CENTRAL BUS NUTS Please make checks payable to:  SOUTH CENTRAL BUS NUTS And mail to:           Kate Johnson 6508 Meadowcrest Lane Flower Mound, TX  75022