Business Name: ______

Owner/Representative: ______

Business Locations: ______

Mailing Address: ______

______

*This information will be used in your listing in the ACOA Campground Map and Directory.

Phone: ( ) Toll Free Phone: ( )

Fax: ( ) Direct Email:

Company Email: Website:

Briefly describe your business or service for the ad on the ACOA website advertisement. You can email your

jpeg format logo and pictures to add to the advertisement.

Please send this completed application along with your membership dues of $125.00 to:

ACOA, P.O. Box 111005, Anchorage, AK 99511

Representative Signature: Date:

Thank you for your support.

Please call (907) 351-3785 if you have any questions.

Please send application and dues to: Alaska Campground Owners Association

PO Box 111005

Anchorage, Alaska 99511-1005

If you have any questions, please call (866)339-9082

Fax: (907) 334-9082