Montreal MG Car Club - Events/News

THE MONTREAL CAR CLUB

Membership Application

NAME

ADDRESS

CITY

PROV./STATE POSTAL CODE

CITY

PREFFERED PHONE - OTHER

FAX NUMBER -

E-MAIL

YOUR CAR   MGYEARCOLOURCHASIS#

OTHER CARS

ANNUAL DUES $25.00
payable to
MONTREAL MG CAR CLUB
c/o
Gordon A. Clark, General Chairman
2303 Route 202
(Rockburn) Hinchinbrooke
Qué. J0S 1E0
[450] 264-6191
gordclark@securenet.net

For office usee only ..
membership # _____________________________
Date ______________________________________

ALL AND ANY INFORMATION GATHERED IN REGARDS TO THE MEMBERS OF THE MONTREAL MG CAR CLUB,
IS TOTALLY AND ONLY USED FOR CLUB PURPOSES. NO INFORMATION, WHAT SO EVER WILL BE DIVULGED ,SOLD
OR OFFERED TO ANY OUTSIDE USER WITHOUT THE PERMISSION OF THE MEMBERS.

Please fill in this form then print it and mail to the above address

NAME
ADDRESS
CITY
PROV./STATE	POSTAL CODE
CITY
PREFFERED PHONE	- OTHER
FAX NUMBER	-
E-MAIL
YOUR CAR	MGYEARCOLOURCHASIS#
OTHER CARS