IT'S THAT TIME OF YEAR AGAIN TO RENEW YOUR MEMBERSHIP:

PORTAGE AREA CRUISERS CAR CLUB

SEND DUES TO:

JOHN GARTLAND

ATTN: CAR CLUB MEMBERSHIP

PO BOX 223

PORTAGE, PA, 15946

PLEASE CHECK ONE: RENEWAL________ NEW________

NAME________________________________________________DATE ________________________

ADDRESS_______________________________________PHONE NO._(______)________________

CITY_______________________________________________________________________________

STATE, ZIP CODE___________________________________________________________________

EMAIL ADDRESS____________________________________________________________________

MEMBERS DATE OF BIRTH (MONTH) _________________________ (DAY) ________________

SPOUSES NAME_____________________________________________________________________

SPOUSES DATE OF BIRTH (MONTH)___________________________ (DAY) ________________

LIST OF YOUR SPECIAL CARS_______________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

* NOTE OWNING A SHOW OR SPECIAL CAR IS NOT REQUIRED*

*ANY CAR ENTHUISIAST IS WELCOME. *

PLEASE INCLUDE YOUR MEMBERSHIP FEE WITH THE APPLICATION.

ALL MEMBERSHIPS EXPIRE ON JANUARY 1ST OF EACH YEAR.

THE PRICE OF A MEMBERSHIP IS $10.00 EACH IN 2010,

(RENEWAL, OR NEW MEMBERSHIP)

(With a $2.00 discount Jan., Feb., and March of 2010)

YOU MAY RENEW, OR ENROLL AS A NEW MEMBER AT OUR MEETINGS,

OR YOU MAY MAIL INFO. MAKE CHECK OR MONEY ORDER PAYABLE TO:

PORTAGE AREA CRUISERS CAR CLUB.

MAIL TO:

John Gartland,

Attn: Car Club Membership,

PO BOX 223,

Portage, PA 15946