RCGA Application Form

  • Mailing Infomation: Please note that we do not release or share the following information with anyone else. If you wish to receive the monthly newsletter, we will need a correct name and address. Using your Femme name or initials, or other variations, may mean that the Post Office will not deliver it to your home. If you do not wish to have the newsletter mailed to you, you can either pick up one at the meetings or get a Post Office Box, which again must contain the proper mailing information.

  • Name you wish use or be know as: ____________________________


    Mailing Name:________________________________________

    Mailing Address: ______________________________________

    City: ________________________________________________

    State:________________________________________________

    Zip Code:_____________________________________________

    Special Mailing Instructinons:







    Optional Information:

    E-Mail Address______________________________________________

    Web Site_______________________________________________________

    Age or Birthday______________________________________________

    How you found out about The RCGA_____________________________

    Any Additional Information:_________________________________________


    Print out this form and mail it with your $25 dues (Money Orders or Checks only):

    R.C.G.A.

    P.O. Box 8076

    Omaha, Nebraska

    68108-0076