Application for
Membership

Start your membership by filling out the form below and mail it to the address in green below.  Be sure to print out a copy for your records.

Clark County Rental Association
 5620 NE GHER RD SUITE I., 
VANCOUVER, WA. 98662

Dues for one year
--$84--
includes newsletter.
(Payable initially on a yearly basis, prorated billing January)
$30 for each additional newsletter address's requested.
(Place these addresses in the comments box below)

Upon Mailing this information form and your payment to us, we will begin your membership Right Away!

Your name: Required
Your e-mail address:
Your Mailing Address:
Your City:
Your State: Your Zip code:
Your Voice Phone:  Required
Your Alternate Phone:
Number of Units:
Additional Newsletter copies (at $30 each):

How did you hear about us? or Comments: