|
NORTH TEXAS CAMAROS MEMBERSHIP APPLICATION |
 click to print application |
|
NORTH TEXAS CAMAROS MEMBERSHIP APPLICATION |
click to print application |
ITEMS TO NOTE:
Your first year's dues are payable with this application. Thereafter, annual dues are payable by March 31 of each year. Annual dues as of January 1, 2007 are $25. Make checks payable to Bob Senich!
You will receive the club newsletter once a month. The newsletter contains information on upcoming events, weekend cruises, cars and parts for sale, and other general interest features.
Please fill out the application as completely as possible. The data in your member profile may be used in the club newsletter.
If you have more than one Camaro, please complete a Car Profile for each car.
Member Profile
Name:____________________________________________________________________
Address:________________________________________________________________
City, State, ZIP:__________________________________________________________
Home phone:____________________; Work Phone:____________________
E-mail address:_________________________
Car Profile
Year model: 1967_____; 1968_____; 1969_____
Coupe:_____; Convertible:_____; Z28:_____; SS:_____; RS:_____
Vinyl or convertible top color:_________________________; Body color:_________________
Interior color:____________________
Interior style: Standard_____; Deluxe houndstooth_____; Deluxe comfort weave_____
Engine:____________________; Transmission:____________________
Mileage:________________
Rear end:____________________; Tires:____________________;
Wheels:____________________
Original:_____; Partial restoration:_____; Complete restoration:_____
Is your car: Raced?_____; Shown?_____; Daily driven?_____
Special features and Modifications:
*Note: We can track up to two cars. If you have another Camaro you would like listed, please fill out the same information on the back of the form.
Please mail to:
Roger Jackson
c/o
North Texas Camaro Club
2420 Vista Glen
Carrollton, TX 75007