![]() |
New Jersey Open Road
Thunderbird Club Chapter 41 - Classic Thunderbird Club International P.O. Box 565, Hewitt, NJ 07421 http://www.njortc.org |
| Application for Membership Please bring your completed application to a club meeting. For more information, and a schedule of upcoming meetings, contact our club President: Pat LeStrange |
|
| |
||||
| Name of Applicant:
__________________________________________________
Spouse/Partner: _______________________ Address: ___________________________________________________________ City: _______________________ Phone:
(_____)__________________ E-Mail:
______________________________________ Cell:
(_____)__________________ FAX: (_____)__________________ Birthdays/Anniversary (month and day only - we don't need to know the years!) |
||||
Applicant: _________ |
||||
| I own the following Thunderbird(s): _____ 1955 _____ 1956 _____ 1957 _____ Other _____ None at present |
||||
| Although not a requirement for Chapter membership, we urge each member to be a member of CTCI. |
||||
I am _____ / am not _____ a member of CTCI.
|
||||
|
||||
|
Chapter dues are $50.00 per year, or $12.50 per quarter. Make checks payable to NJORTC. (Dues will be prorated, on a quarterly basis, for new members.) Signature
_______________________________________ |
||||