In order to join Iowa Wild Roses Escapees RV Club Chapter 48 you must first belong to the national Escapees RV Club. Membership fee for Chapter 48 is $5.00 plus an initiation fee of $5.00 for a total of $10 for the first year and $5.00 for each year thereafter.

Last Name_______________ First Name________________

Spouse or Partner's Name ____________________________

SKP Member #_______

Mailing Address____________________________________________

City _________________ State______ Zip Code ______

Phone ( ______) ______________
Is the above also your RESIDENCE? Yes _____ No _____

Winter Address ___________________________________________________

City _________________ State______ Zip Code ______

Phone ( ______) ______________
Dates Winter Address is in effect: __________________

E-Mail Address __________________________________
(print clearly)

AMOUNT ENCLOSED: $______________

COMMENTS: _____________________________________________

__________________________________________________

__________________________________________________

Print this page. Mail check and completed application to:

Marty Buttolph
2451 260th St.
Rockwell City, IA 50579