For Fun And Fellowship
Membership Application
(Application Fee of $12 includes first year's dues; annual dues thereafter are $8.)
Last Name:_______________ Husband:_________ Wife:_________
Address:_______________ City:_________ State:____ ZIP:_______
Phone:____________ E-mail:_____________ Ham Call:__________
Number of Children:____ Number of Grandchildren:____
Wedding Anniversary:________
Birthdays: Husband______________ Wife_______________
Type of Disability:_______________________________________
______________________________________________________
Which Member:_____________ How Long:____________________
Use: wheelchair / scooter / crutches / walker /
Other:_______________________________________________
Retired: Husband (yes) (no) Wife (yes) (no)
If not retired, what type of work: Husband__________________
Wife:_____________________
Type of Recreational Vehicle:______________________________
______________________________________________________
Any particular problems in traveling:_________________________
_______________________________________________________
_______________________________________________________
Hobbies: Husband:_______________________________________
Wife:________________________________________________
How did you learn about HTC?______________________________
_______________________________________________________
As a member would you be willing to:
Send news to the HTC Newsletter? (yes) (no)
Work on the Newsletter? (yes) (no)
Work on special projects? (yes) (no)
Serve as an officer or regional director? (yes) (no)
Host a mini rally or the annual rally? (yes) (no)
Other:_______________________________________________
Mail with dues to:
Judy Hardy, HTC Treasurer
4122 Camerino St
Lakewood, CA 90712
Date:____________________________________
Thank you for your inquiry about the Handicapped Travel Club.
The Handicapped Travel Club, Inc. was formed 33 years ago to encourage
RV traveling for
people with a wide range of disabilities. We currently have
over 250 active
members, publish a newsletter, have local get-togethers and
sponsor an annual
rally. A rally was held in Toppinesh, Washington in 2004,
and in Malletts Bay,
Vermont in 2005. In 2006 our national rally was held
in Sullivan, Indiana,
and the 2007 rally is scheduled for Southern California
Please complete the
application form and return it to
Treasurer:
Judy Hardy
4122 Camerino St
Lakewood,CA 90712
along
with a check for $12 made out to Handicapped Travel
Club,
which covers
the application fee and your first year’s dues. After
this, your annual dues
will be $8. We hope you’ll join us.
If you have any questions, please call. Sincerely, Judy
The
Handicapped Travel Club, Inc.
For Fun And Fellowship
President; president@handicappedtravelclub.com
Vice President;
Merle Young :
317-442-8612. Clark Bostwick: (632) 815-7046
P.O. Box 147
9605 W. Hidden Valley
Fishers, IN 46038 Sun City, AZ 85351
Treasurer:
secretary@handicappedtravelclub.com
Judy Hardy
Evelyn
Albertson
4122 Camerino St
P.O.
Box 147
Lakewood, CA 90712
Fishers, IN
46038
All information on these pages is believed to be true and accurate at the time
of posting.