Post
Office Box 1135
Toms
WEBSITE:
http://www.vintageautoclubnj.org/
VINTAGE AUTOMOBILE CLUB OF OCEAN COUNTY,
INC.
2012 MEMBERSHIP* APPLICATION (Please Print Clearly)
Name
__________________________________________________________________________
______
Check here if there are no changes from last year's information except as noted below.
Spouse’s
Name __________________________________________________________________
Street
Address ___________________________________________________________________
City,
State, and Zip Code ___________________________________________________________
Telephone
Number ____________________________ Cell Number _________________________
Email
Address ________________________________________________________________
I
would like my newsletter to be sent via (check one):
Email
________ (you must include your email address on the above line)
Regular
postal service _________
I am interested in helping the club
with the following (check all that apply): ____ Car show operation
____Club committees
____ Cruise/event coordination ____ Club officer
* Please note that as a Vintage Auto
Club member, you are not eligible for trophies at our annual show.
ANTIQUE / SPECIAL INTEREST CARS
YOU OWN:
YEAR MAKE MODEL
1.
________________________________________________________________________
2. ________________________________________________________________________
3.
________________________________________________________________________
4.
________________________________________________________________________
DUES: $20.00 Per
Year
Make checks payable to: Vintage Automobile Club of Ocean
County, Inc.
Mail to:
_____ New Member _____ Membership Renewal (Renew by 1/31/12)