New Member Application

Membership Requirements:

You must be a current member of the Family Motor Coach Association (FMCA) and own a Country Coach. If you are not a member of FMCA you will need to apply for FMCA membership concurrently:

  • Click HERE to be redirected to the FMCA Application website page
  • Click HERE to download a printable application

NOTE: Enter “Applied” when asked for your FMCA number on our application form.

Join NWCCers:

Use the form below to apply for membership in NorthWest Country Coachers online. To mail us an application please click HERE.

Existing Members:

Please use the Dues Renewal Form to renew your annual dues.


Tell Us Who You Are

Driver's Full Name (Required)

Driver's Birth Date (Year is Optional)

Co-pilot Name

Co-pilot's Birth Date (Year is Optional)

Anniversary Date (Okay, this time we'd like to know the year too!)

Mailing Address

Home Address if different than mailing address

Enter the City and State you would like under your name on your name badges

Please choose the attachment method you prefer for your name badges
Pin-style ClaspMagnetic Clasp

Email

Phone Number

Driver's Cell Phone

Co-pilot's Cell Phone

FMCA Number (Current membership in FMCA is required to join and remain a member of NWCCers)

Now tell us about your Country Coach

Country Coach Model

Model Year

Coach Length

Coach Number

Emergency Contact Information

Who should we contact in case of an emergency?

Relationship

Phone Number

Address

Any special medical information we should know about? Please list here or type "None."

Pets and Interests

Do you travel with pets? If so, please give us some information (breeds, names, etc.)

What are some of your favorite activities when you are out in your Country Coach?

What are your hobbies and special interests?

Membership Directory

Northwest Country Coachers maintains a Membership Directory that is periodically sent to the members. The directory will also be posted online with limited information in a password protected area. The Directory includes the following information.

Your Names

Mailing Address*

Email Address

Home Phone*

Cell Phone Numbers*

Coach Information

FMCA number

Your photo

*Items not included in the web-based directory

Please indicate below whether we may include your information on the club website.

Please indicate your Website Directory Choice
YES - Please include our information in the membership directoryNO - Please do NOT include our information in the membership directory

Sending takes you to a PayPal Link to pay for your new membership. If you want to sent the Treasurer a check just ignore the PayPal page

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