Membership Application
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This page was last modified on 01/10/2008
Click here for a printer friendly version of the following application:

PLEASE PRINT LEGIBLY

You and other enthusiasts in your family:

Name ____________________________________________________

Spouse/partner ____________________________________________

Address __________________________________________________

City, State, Zip ____________________________________________

Telephone ________________________________________________

E-mail ___________________________________________________

FAX/Other ________________________________________________

Other car clubs to which you belong:

_________________________________________________________

I would like to help with (circle): Events   Organization   Planning

Other: ___________________________________________________

Your cars:

Year _____ Model _____ Body Style _____ Color _____ License # __________

     Vehicle # ___________________ Engine # ______________

Year _____ Model _____ Body Style _____ Color _____ License # __________

     Vehicle # ___________________ Engine # ______________

Please tell us more about your car(s) including history if you know it, and
how you came to own it. Use the back of this form or another page. We
would also like a photo of you and your car for the newsletter and the website.

Mail this form and a check for $25.00 (12.50 after July 1) payable to CGMGA
Club, to Columbia Gorge MGA Club, P. O. Box 66431, Portland, OR 97290.