WDMGC Application Form
Return this filled application form with
$25
US or $25 Cdn for an electronic
version of the newsletter or
$40 US or $40 Cdn if you prefer a printed copy.
(Cheques should be made payable to WDMGC)
Send form with payment to:
WDMGC Membership
28404 South Harwich Drive
Farmington Hills, MI 48334-4281
USA
Your membership includes 2 nametags. Please print the
names as you wish them to appear on the tags. Additional tags are
available for $5.
Name____________________________
Companion_________________________
Address_____________________________________________________________
City_______________________________State/Province______________________
Zip/Postal Code_________________
Telephone_____________________
E-mail____________________________
Cell Phone____________________(Cell number is optional. For emergency use at club events only)
Please list year, model, body style and color for
British cars only:
Car #1: Yr _______model____________body
style____________color____________
Car #2: Yr _______model____________body
style____________color____________
Car #3: Yr _______model____________body
style____________color____________
Car #4: Yr _______model____________body
style____________color____________
Car #5: Yr _______model____________body
style____________color____________
Car #6: Yr _______model____________body
style____________color____________
Car #7: Yr _______model____________body
style____________color____________
More than 7 British cars? Please list others on a
separate sheet.
Please put a check-mark here if you are a member of NAMGAR [ ] and/or NAMGBR [ ]
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