Washington DC Unit

Region 2, Unit 170

Date______________________________

Name(s) _____________________________________________________________________________

Children______________________________________________________________________________

Address 1 ____________________________________________________________________________

Address 2 ____________________________________________________________________________

City _______________________________ State _____ Country ______ Zip Code ________________

Telephone __________________ Email __________________________________________________

Check one:

Member - $56 annual dues ($55 WBCCI Dues and $1 Unit Dues)

Affiliate Member - $1 annual dues WBCCI Number_________ Region ____ Unit Number_______

Unit Name_____________________________________

Airstream Trailer Information

Year _______

Length in feet, bumper to ball ______

Model ________________________

Serial number___________________

Do you have Courtesy Parking?___________________________________

Send this application along with your check payable to WDCU to:

Margaret Natoff

17216 Hobble Bush Ct.

Denwood, MD 2220855

The membership chairman, Margaret Natoff, can be contacted via email at natofs@aol.com if you have any questions.