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Virginia
Wheels Car Club Old Cars
New Friends MEMBERSHIP APPLICATION NAME_______________________________________________________ SPOUSES
NAME______________________________________________ ADDRESS____________________________________________________ CITY_____________________STATE
____________ZIP ____________ PHONE
NO.___________________ E-MAIL_______________________ I currently own an
Antique/Collectible Car/Truck
YES______ NO _____ Make, Model, and Year
__________________________________________ Referred by:
__________________________________________________
(Current Member Name, Internet, etc) __________________________ Signature/Date
(Your Signature indicates that
you
agree to abide by all Club rules) ** Annual Dues are $20.00 - Please
attach payment to application and return to any Virginia Wheels Member or
mail to: Virginia Wheels
P.O. 353 Freeman, VA 23856 |
