HOW TO JOIN A MINNESOTA
GOOD SAM CHAPTER
Please fill out and send the form below. A
Good Sam member near you, will then be in touch with you.
For more details on the Good Sam Club in Minnesota and
information on a Chapter near you, please call or contact our
STATE WIDE MEMBERSHIP COORIDINATOR
Jim (Pollock) Niedzielski
1054 180th Ave.,Ogilvie, MN. 56358
Ph# Jim 320 282 2806 Jerry 320 237 8844 E-Mail jpollock@localnet.com
CHAPTER INFORMATION
Chapter activities develop from composition. Help
us locate you in the Good Sam Chapter that best fits your interests and
needs.
NAME_____________________________________________________________________
STREET____________________________________________________________________
CITY_______________________________________________________________________
STATE___________________________________ZIP________________________________
PHONE (___)________________e-mail____________________________________________
GOOD SAM#__________________TYPE OF RV____________________________________
| __________ |
We camp with children/
grandchildren |
|
__________ |
We (I) prefer a group of mixed
age and family size |
| __________ |
We are a retired camping family |
|
__________ |
We are not a retired camping
family |
| __________ |
I am single, retired |
|
__________ |
I am single, not retired |
|
OUR CAMPING PREFERENCES
INCLUDE:
| _____ |
Fishing |
|
_____ |
Just Relaxing |
|
_____ |
Cards |
|
_____ |
Crafts |
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| _____ |
Caravans |
|
_____ |
Square Dancing |
|
_____ |
Dancing |
|
_____ |
Music |
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Games |
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_____ |
Golf |
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_____ |
(Other)________________
______________________ |
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Comments:__________________________________________________________________________
___________________________________________________________________________________
Mail completed form to:
Jim Niedzielski
1054 180th Ave.
Ogilvie, MN. 56358
Thank-you for your interest and we look forward to seeing
you
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