MEMBERSHIP APPLICATION EARLY FORD V8 CLUB of AMERICA
REGIONAL GROUP #51 OWNERSHIP OF AN EARLY FORD NOT NECESSARY FOR MEMBERSHIP
Membership in the National Early Ford V8 Club of America is required.
National Membership Number _____________
PLEASE PRINT
DATE _____________
NAME_______________________________________SPOUSE NAME___________________________________
ADDRESS__________________________________________________________________________________
CITY________________________________________STATE_____________________ZIP__________________
TELEPHONE #_______________________CELL#______________________WORK#_______________________
E-MAIL____________________________________________________________________________________
DOB-YOURS_________________________SPOUSE_____________________ANNIV________________________
**************
VINTAGE CARS OWNED
YEAR MAKE BODY STYLE ORIGINAL or RESTORED
1
2
3
4
5
Add any others on the reverse side of this sheet Local Dues: (Due Jan. of each year)
Indivdual $10.00
Joint $13.00
Pay the club treasurer or mail to:
Early Ford V8 Club of Peoria
P O Box 471
Pekin, Il. 61554-0471
National Dues:
Individual $35.00
Joint $38.00
Individual
without magazine $10.00 with Membership Roster Only
without magazine $5.00 without Membership Roster
Mail National dues to: Early Ford V8 Club of America, Inc.
P O Box 2122
San Leandro, CA. 94577
Or Apply Online: www.earlyfordv8.org
Early Ford V-8 Club of America
An International Organization
MEMBERSHIP APPLICATION
[__] New Membership Check Box as Required [__] Renewal Membership MEMBER NAME ________________________________________________________________________
JOINT NAME ___________________________________________________________________________
ADDRESS ______________________________________________________________________________
CITY ______________________________ STATE ________________________ ZIP _________________
TELEPHONE _______________________ COUNTRY __________________________________________
CAR(S) OWNED
YEAR MAKE TRIM ENGINE BODY STYLE
Sample: 1940 FORD DELUXE V-8 TUDOR SEDAN
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Credit Card: VISA MASTERCARD (circle one)
CARD #____________-____________-____________
EXPIRATION DATE: ______________________________
SIGNATURE: _____________________________________
United States
[ ] Annual-Surface Mail
Regular Membership $35, Joint Membership $38
[ ] Three Year-Surface Mail
Regular Membership $100, Joint Membership $109
Mexico & South America
[ ] Annual-Surface Mail
Regular Membership $52, Joint Membership $55
[ ] Three Year-Surface Mail
Regular Membership $150, Joint Membership $159
Canada
[ ] Annual-Surface Mail
Regular Membership $43, Joint Membership $46
[ ] Three Year-Surface Mail
Regular Membership $120, Joint Membership $129
Europe & Pacific Rim
[ ] Annual-Surface Mail
Regular Membership $50, Joint Membership $53
[ ] Three Year-Surface Mail
Regular Membership $140, Joint Membership $149
Membership without V8 TIMES Delivery
[ ] U.S. & All Foreign Countries: Annual Membership $10 with Membership Roster only.
[ ] U.S. & All Foreign Countries: Annual Membership $ 5 without Membership Roster.
Mail National dues to: Early Ford V8 Club of America, Inc.
P O Box 2122
San Leandro, CA. 94577
Or Apply Online: www.earlyfordv8.org
Thank you for Joining or Renewing your membership in
The Early Ford V-8 Club of America