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________________________

 

 

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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

   . 

  

National Dues:

                   Individual                          $30.00

                    Joint                                     $32.00         

                    Individual

                         with no magazine      $10.00

 

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

 

 

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

           

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