TSMC Membership Application

Please print all information and mail to:

Tri-State Mustang and Ford Club

c/o Treasurer

9627 Roundhouse Dr

West Chester, Ohio 45069



Name: _______________________________ Phone:
Address:____________________City__________________State/Zip

Email:

Ford Vehicles You Own:

.

MCA Club Member No____ Yes____ If yes insert #

Please share any skills you may have (welding, computers, engine work, etc..):

 

How did you hear about us?   
Club member referral _____________________  Web site ____      Show flyer____

Other (please describe) __________________________________________________

Please make payment via check to Tri-State Mustang Club.  Membership dues are $20 per year per family and are renewed in October of each year. Dues paid between April 1 and Sept 30 are prorated.

 

Signature:_________________________________ Date:___________________

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