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CLUB "T" MG MEMBERSHIP APPLICATIONAnnual family membership $25.* Please complete the form and send with a check to Club 'T' MG, P.O. Box 5243, Portland, OR 97208.
DATE _________________
NAME ________________________________________________
(LAST NAME FIRST; PLEASE PRINT)
SPOUSE ___________________________________
CHILDREN _______________________________________________________
ADDRESS ________________________________________________________________
CITY ______________________________ STATE ___________ ZIP ______________
PHONE ( _ _ _ ) ________________ OCCUPATION (optional) _____________________
E-MAIL ___________________________________________________
CAR YEAR & MODEL _________________ COLOR _______________
LICENSE NUMBER _________________ CAR NUMBER ____________
CAR YEAR & MODEL _________________ COLOR _________________
LICENSE NUMBER _________________ CAR NUMBER __________
List additional cars on back.
*Calendar Year. Pro-rated as follows: April - June $20.00; July - August $15.00; Labor Day - ABFM special $25 through next year.
Date rcvd Treas. __________ Check#__________ Amt. __________ |