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THIS FORM AND DUES, IF PAYABLE TO:
MORGAN MOTOR CAR CLUB
P.O. Box
50392DALLAS, TX.
75250-0392ANNUAL DUES $30.00 DATE:____________
PLEASE COMPLETE ALL THE PERSONAL DATA SECTION AND ANY OTHER PORTIONS, WHICH HAVE NOT PREVIOUSLY BEEN FURNISHED OR WHICH MAY HAVE CHANGED.
PERSONAL DATA
NAME:__________________________________ SPOUSE:_________________
ADDRESS:
City:______________________ STATE:_____________ ZIP:_____________
OCCUPATION:________________ PHONE: H W____________
FAX:
_______________ EMAIL: _______________
CAR
DATAMODEL: (+8,+4, 4/4,
+4+, 3 wheeler, etc.)________________________________BODY STYLE: (DHC, RDSTR, 4 STR, SS,
etc.)_______________________YEAR:_____________ COLOR:_____________ CHASSIS NO._______
ENGINE TYPE: (TR4, FORD, FIAT, ROVER, JAP,
etc.)____________ ENGINE NO.____________General DATA
HOW LONG HAVE YOU OWNED YOUR MORGAN?_____________
OTHER MMCC MEMBERS THAT YOU KNOW, IF ANY?___________
HOW DID YOU LEARN OP MMCC?___________________________________
LIST ANY OTHER MORGAN CAR CLUB MEMBERSHIPS__________________________
LIST ANY OTHER NON-MORGAN CAR CLUB MEMBERSHIPS________________________
FROM WHOM DID YOU ACQUIRE YOUR MORGAN?_____________________________
(PLEASE ADVISE IF YOU WANT ANY OF THIS INFORMATION DELETED FROM ANY DIRECTORY)
