All memberships and all new memberships must be submitted on the above form.  You may make as many
copies as you need. Fill in CHAPTER name at top of the form.  

Click on the
blue link above to open the form in Microsoft Excel, then you can complete it and print it, OR  just
print it.

Click on the
red link below to open in Adobe format to be able to just print the form.

Microsoft Works format - click on the green link below, save the form to your computer, then open and print it.

Be sure that you have given all info -- last name, both first names, street address, city, state, complete zip,
telephone number, e-mail address, Good Sam number, expiration.

Make check out to
Good Sams of Florida, Inc.  Mail two (2) copies of this form plus a check to:

LINDA VOYTON, TREASURER                     
PO BOX 1604
LUTZ, FL 33548


                   

TOMMY & LOIS CRUTCHFIELD, STATE DIRECTOR
CELL # 850-723-0119
CHAPTER ROSTER FORM