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Application for New Membership

Please complete and print this membership application and return it to the following :
Paradise Valley Model A Club
P.O. Box 1120
Rialto, CA 92377



New Membership Information:
Date: EMail:
Name - First, Last:
Spouse Name - First, Last :
Address:
Address:
City, State, Zip, Country
Phone, Fax:
Vehicle Info: (Optional)
Year, Make, Model

Membership - $15
 (Including spouse if applicable) This membership is for both husband and wife. Both enjoy voting privileges. This membership will receive one copy of THE STEERING COLUMN newsletter monthly.

Dues are billed annually for the Club’s fiscal year beginning DECEMBER 31st.  Memberships conferred after October 1 include all of the succeeding year. There is no prorating of fees for late memberships and no back issues of THE STEERING COLUMN are supplied.

ANY CHECK DISHONORED BY A BANK AND RETURNED TO PVMAC WILL BE SUBJECT TO A CHARGE OF $25.00.
Application printed from the PVMAC web site.

Make your check payable (U.S. Funds) to Paradise Valley Model A Club or PVMAC
 

  

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