Membership Form

Name:
Address:
Postal Code:                                                                                   Phone Number:
Email Address:
Referred by:
Mustang(s) you own:
1.
2.
Other interests:  Check those that apply
Car shows   Monthly Newsletter   Other:
Cruises   Discounts
Swap meets   Social Activities
Membership Dues

First year: FREE!!!!

Yearly membership: January to December: $20.00

Half year membership: July to December: $ 15.00

 
Amount paid:  Date:
Signature:

To send membership form and payment in, please contact Donna at 250.287.1766
                                        or drop me an email at ponygirl1967@hotmail.com.                                                    

 

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