Southwest Trek Fun Club Membership Application:
All fields are not necessary and under no circumstances will we ever sell or distribute our database to any third party vendor without the permission of the membership.  Since we operate this club on a shoestring we would ask that all our members use e-mail as much as possible to communicate.  There is a $5.00 per coach membership fee which you can mail to us at the following address along with this form.  Thanks and welcome to our group!!
For any questions please contact Liana Kinne at lwkinne1@gmail.com.

Please print this form, make your check out to Liana Kinne and mail to 8795 N. Valley Oak Drive, Prescott, AZ 86305.

First Name:_____________________________________
Co-Pilot First Name:______________________________
Last Name(s):___________________________________
Street Address:____________________________________________________________________
City, State, Zip Code:_______________________________________________________________
Home Phone/Cell Phone:____________________________________________________________
E-mail Address:____________________________________________________________________
Please provide information on your TREK:
Year:_______________          Model:_______________