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Personal Information

Membership Type
Name

first name

last name
Address
City/State/Zip

city

state

zip
Phone

home

cell

fax
Email
Referred By

Please fill out all the information below for each Ford in your family:

 YearMakeModelColorEngineRestored?Use

What are your ownership objectives?

 MaintainRestorePersonalizeShow

Other cars owned:

How many other cars do you own?
What are their makes and models?

What are your primary reasons for becoming an AVMFC member? Please rank in order of importance, 1 being most important:

Car Shows Publications Social Events
Technical Info Monthly Meetings Driving Events
Member Discounts Assistance/Advice Networking
Insurance Access Opportunity to Serve Other (describe)
Are you a member of the Mustang Club of America?   
If yes, what is your member number?
What are your special hobbies?
When is your birthday (month and day only)?
When is your spouse's birthday (month and day only)?
What is your occupation?
What is your spouse's occupation?

Please check the areas where you have special skills:

Teaching Secretarial Computer Legal
Auto Repair Accounting / Bookkeeping Marketing / Sales/Advertising Social Director
Non-Profit Organizations Publications Other

Would you be willing to assist in developing and/or implementing Club events or programs if the task was specific and required a limited amount of your time?