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.