| Name: |
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| Significant Other's Name: |
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| Address: |
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| City: State: Zip: |
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Home Phone:
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Work Phone:
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Fax:
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Cell Phone:
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| Email Address (important!): |
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Other Car Club
Affiliations:
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| Vehicle Inventory
(Optional): Please indicate condition: A) Drivable; B) Project; C)
Parts Car |
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| Please indicate
areas you would like to offer active assistance in club functions. |
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| Annual dues are
$20.00, and are due July 1st of each year. If you join after January
1st, dues are $10.00. Please make checks payable to MMSCC. and
send to MMSCC, 60 Howe Hill Rd. Camden Maine. 04843. You may use this
online form, or print it and mail with your check. |
