Operator Registration Application
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3101
Form
(Revised 03/15)
Submit to:
Secretary of State
Registrations Unit
Membership Camping Resort
P.O. Box 13550
Operator Registration
Austin, TX 78711-3550
512 475-0775
Application
FAX: 512 475-2815
Filing Fee: $250.00
1.
Operator's Name:
________________________________________________________________________________________
2.
Business Address of Operator:
________________________________________________________________________________________
3.
Business Telephone of Operator (
________ __________________________________________
)
4.
Name of Camping Resort:
________________________________________________________________________________________
5.
Address of Camping Resort (if different from operator's):
_________________________________________________________________________________________
6.
Organizational form of operator's business (i.e., sole proprietorship, partnership, corporation):
________________________________________________________________________________________
________________________________________________________________________________________
7.
Name and address of each partner or officer:
Name:
_________________________________________________________________________________
Address:
________________________________________________________________________________
City:
______________________________
State:
_________
Zip:
_________________
% of Ownership:
______________________________________
*****
Name:
_________________________________________________________________________________
Address:
________________________________________________________________________________
City:
______________________________
State:
_______
Zip:
___________________
% of Ownership:
___________________________
*****
_________________________________________________________________________________
Name:
Address:
_______________________________________________________________________________
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