
MEMBERSHIP APPLICATION
Last Name
___________________________________________________________
First __________________________
Spouse________________________________
Address_______________________________________________________________
City
________________________________________________
State________________________ Zip _______________________________
Phone ________________________________________________________
E-Mail
Address________________________________________________________
Mustang Year, Body Style, Model
(1)_________________________________________________________
(2)_________________________________________________________
Annual Family Membership dues are $20. For new 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 Newsletter, 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 Tueday of every month at Smokey Joes BBQ in Nash. For our next events go to WWW.4STATESMUSTANG.COM and click on events.