VIMA -> Membership Application Form
Membership Application
Name:  
Address:
Postal Code:                                     Phone Number:
E-mail Address:
Referred to Association by:
Mustang(s) Presently Owned
1.
2.
Primary interests (check all that apply)
  Restoration   Parts   Location
  Social Activities   Parts Discounts   Car Shows
  Camping   Displays   Newsletter Articles
Other:
Fee Structure
  New Membership Start-up Fee:   $5.00 
  Yearly Membership January to December:  $25.00 ($12.50 after June 30 for new members only)
  Additional Family Membership:   $10.00 ($5.00 after June 30 for new members only)
      ** All memberships terminate December 31 of the year joined **
Amount Submitted: $ Date:
Signature:

Send Payment to:
Vancouver Island Mustangs Association
990 Violet Ave.
Victoria, BC   V8Z 2R6
 

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