2006 RSCC Membership Application/Renewal

 

Name(s):______________________________________________________________

 

Address:_____________________________________________

 

_____________________________________________

 

Telephone:____________________E-Mail:__________________

 

Vehicle:______________________________________________

 

Modifications:_________________________________________

  (Optional)

____________________________________________________

Fees: $10.00 Initiation Fee (For New Applicants Only)

 $25.00 Individual

$30.00 Family (Same Address)

Please send application and check to: RSCC

 P.O. Box 478

 Eureka CA, 95502