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| 2008 Membership
Information |
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| Please
send c/o: |
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| SCMAFC Membership Director |
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107 Coral Springs Circle NE, |
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Calgary, Alberta. T3J 3P5 |
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| 1. Please complete any missing entries,
correct any errors, sign, and return the form complete with payment |
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| required to the Stampede City Model A
Ford Club. |
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| 2. Because the Club’s fee structure, member records, and personal
data usage authorizations operate on a |
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| calendar year basis, members are
requested to complete and return their forms prior to the end of each |
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| calendar year or as soon after as may be
practicable. |
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| Personal Information |
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| Member: |
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Spouse: |
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| Mailing Address: |
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Telephone: |
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Cellular: |
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e-mail: |
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| Birthdays &
Anniversaries: |
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Year last joined: |
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| Name |
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Date |
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MAFCA member No.: |
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Financials: |
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Annual Family Membership Fee
of $30: $30. |
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| Anniversary |
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Script via e-mail or website is
free: Y or N ? ___ |
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| Model A's: |
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or, Script printed black & mailed
included: Nil |
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| Body Type |
Year |
Condition * |
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Club lapel pins @ $5 ea: $ |
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Club crests @ $5 each: $ |
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| * NR = Needs
Restoration |
R = Restored |
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| UR = Under
Restoration |
O = Original |
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Total payable &
enclosed: $ |
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| Permission is
granted to publish, within reason, the information supplied above in the
SCMAFC |
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| Roster, Newsletter
(Script), and website. No mailing
lists are sold or distributed for financial gain. |
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| Member
Signature |
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