English Motoring Club

 

Membership - $25

 

200___

 

Name(s) _________________________________________________________________________________

 

Address _________________________________________City __________________State_______________

 

Zip Code ______________________ Home Phone ___________________Work Phone__________________

 

Fax ______________________________ Cell Phone_______________________

 

E-mail  ___________________________________________________________

 

 

Vehicle inventory (optional).  Please indicate condition:  a) drivable    b) project   c) parts car

 

 

1.  ______________________________________  5._______________________________________

 

2. _______________________________________ 6._______________________________________

 

3._______________________________________  7._______________________________________

 

4._______________________________________  8._______________________________________

 

 

 

Please indicate areas you would like to offer active assistance in club functions.

 

1.  Newsletter                          ________                           4.  Membership                     ________

 

2.  Technical                               ________                        5.  Special events                 ________

 

3.  Annual car show                  ________                        6.  Drives and Tours            ________

 

                                                               

 

Dues are $25.00 per year.   This includes your $9.50 annual subscription to British Marque.

 

Annual Dues are due in January of each year.

 

 

Make checks payable to: English Motoring Club

Mail to: c/o Clay Johnston, P.O. Box 357, Mt. Olive, MS 39119