MEMBERSHIP APPLICATION

 Last Name ___________________________________________________________

First __________________________ Spouse________________________________

Address_______________________________________________________________

City   ________________________________________________   

State________________________    Zip _______________________________

Phone ________________________________________________________

E-Mail Address________________________________________________________

Mustang Club of America number _____________________________

 Mustang Year, Body Style, Model

 (1)_________________________________________________________

 (2)_________________________________________________________

 

Annual Family Membership dues are $20 for non Mustang Club of America and $15 for those who are members of MCA. For members joining after July 1, Membership dues are $10 for the last six months of the year.

Four States Mustang Corral membership dues cover maintaining the Web site, mailings and club supplies (plates, drinks, etc for club sponsored activities)

Mail this completed membership form to, 1027 Beaver Lake Dr., Texarkana TX. 75501, with a check or money order payable to "Four States Mustang Corral". Or just come to the next meeting and fill one out. We meet the second Tuesday of every month 6:30 PM at Smokey Joes BBQ in Nash.

   

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