Joining Jayco Travel Club is easy and Secure!

1. Please take a minute to fill out the form below. Make sure that you fill in all of the necessary fields.
2. Your application is secure. No need to worry about your personal or credit card information being intercepted. You should see a small "padlock" or "key" on the status bar of your browser. This indicates that your complete transaction is safe to transmit via the internet.
3. If you are still uncomfortable about paying online or unsure of the security of this transaction, you may print this form directly from your browser and send it in with your check.

MEMBERSHIP STATUS
New Member
Renewal Membership # :


PERSONAL INFO
(Items marked with * are required)
*Name:
*Address:
Suite:
*City:
*State: *Zip:
*Phone:
*E-Mail:


DUES
One Year $15.00    Two Years $30.00    Three Years $45.00


TELL US HOW YOU DECIDED TO JOIN (mention any references)


BILLING INFORMATION
*Credit Card Number:
*Card Security Code:
*Expiration Date:
*Name on the Card:
  (change if not the same as above)
*Credit Card Type:



*(These items are required)

Credit Cards are processed thru Sports Image Apparel.
If you prefer, you many print out this form and fax or mail to :

Jayco Travel Club
58800 Executive Dr
Mishawaka, IN 46544

Send all checks to the address above (Please, send US funds for Canadian applications)

Thank you!
Phone: 1-800-262-5178 Fax: 1-574-259-7105
I understand that neither Jayco Travel Club, the campgrounds nor any other travel associations used assume any responsibilities directly or indirectly for use or operation of vehicle or RV going to or from or during a rally; or, for losses involving personal belongings, vehicle, or RV due to any cause whatsoever; or, for injuries to persons within or without the rally; or for damage to property of any kind. All trips are complete package tours as outlined in this advertisement.

Jayco Travel Club 2012

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