Family Membership Application
Print this page out. Please type or print all the following information. Sign at the bottom and attach your check for $20.00 for the current calendar year.
All applications submitted will remain in effect through December 31st.
Make your check out to: Arizona Mustang Club and address the envelope to Arizona Mustang Club, P.O. Box 1593, Scottsdale, Az, 85252
Note: Ownership of a Mustang is not a prerequisite for membership
Name: ________________________________ Spouse: ______________________
Address: ________________________________ City/State/Zip: __________________
Phone (include area code): _____________________
Are you presently a member of The Mustang Club of America (MCA) ? No ____ Yes (MCA #) ______
MUSTANGS, SHELBYS & OTHER FORD SPECIAL INTEREST VEHICLES OWNED:
I, the undersigned, realize that my vehicle (s) must be Insured and that I cannot hold the �Arizona Mustang Club� or any other sponsors responsible for any damage or accidents in connection with my membership.
Signature: __________________________________________ Date: __________________
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