Online Fill In Printable Application

Inland Empire Mustang Club
Membership Application

Name (primary)

Birthday MM/DD

Name (associate)

Birthday MM/DD

Mailing Address (Address, City, State & ZIP) NOTE: Be sure all info is included!

Cell Phone

Home Phone

Occupation

New Member

Renewal

Were You Refered (If Yes, By?)

Do you own a Mustang? Yes/No (Note: Ownership is NOT required)

Year

Model

Color

Stock or Modified

_________________________________________________________________________________

Monthly Meetings

Social and Group Activities

Family Fun

Car Shows, Cruises & Rallies

What are your interests? ("X" all that apply)

Volunteer Opportunities

Auctions

Restoration

Parts Discounts

Locating Parts

_________________________________________________________________________________

New Member Dues Payment: $25

Member annual dues are $25, due on January 1st each year for a 12 month membership.

Date MM/DD/YY

Inland Empire Mustang Club
Membership Application

_________________________________________________________________________________

What are your interests? ("X" all that apply)

_________________________________________________________________________________

New Member Dues Payment: $25

Member annual dues are $25, due on January 1st each year for a 12 month membership.

When Completed, "Right Click" and then Click Print

Mail to: IEMC/Treasurer PO Box 13591 Spokane Valley, WA 99213-3591
Or bring to any club meeting or scheduled event. Ask for the Treasurer.

Thanks, we look forward to meeting you!

Inland Empire Mustang Club Membership Application

_________________________________________________________________________________

What are your interests? ("X" all that apply)

_________________________________________________________________________________

New Member Dues Payment: $25

Member annual dues are $25, due on January 1st each year for a 12 month membership.

When Completed, "Right Click" and then Click Print

Mail to: IEMC/Treasurer PO Box 13591 Spokane Valley, WA 99213-3591 Or bring to any club meeting or scheduled event. Ask for the Treasurer.

Thanks, we look forward to meeting you!

Inland Empire Mustang Club
Membership Application

Mail to: IEMC/Treasurer PO Box 13591 Spokane Valley, WA 99213-3591
Or bring to any club meeting or scheduled event. Ask for the Treasurer.