SGMFC Membership Application

Dues are pro-rated as follows:

Join in Oct, Nov, Dec for $30, expires on Sept 30
Join in Jan, Feb, Mar for $25, expires on Sept 30
Join in Apr, May, June for $20, expires on Sept 30
Join in July, Aug, Sept for $35

Renewals are $30 and are due October 1st of the calendar year in which you join.

A check must accompany this application.
Make checks payable to Stallions Gate Mustang & Ford Club and mail your check and application to the following address:

Stallions Gate Mustang & Ford Club
P.O. Box 1751
Palatine, IL 60078-1751

E-Mail Address


Name


Spouse


Address


City
   		 State
   		 Zip

Phone Number



Do we have your permission to publish your name & home phone number in the club's Members only roster?
Yes
No

Do we have your permission to publish your name & email address in the club's monthly newsletter?
Yes
No

Type of car #1


Year
   		 Body Style
   		 Color

Type of car #2


Year
   		 Body Style
   		 Color



Any Comments?


                             


All members are required to abide by the Stallions Gate Mustang Club Inc. bylaws and are required to comply with the Financial Responsibility Laws as prescribed by the State of Illinois. Stallions Gate Mustang Club, Inc. reserves the right to refuse membership to any person.

©Copyright 2007 Stallions Gate
Designed and maintained by
Shadow Web Service