MET NY/NJ Membership Application

cccMEMBERSHIP APPLICATION FORM
Name:_____________________________________________________ Co-Member:________________________________________________ Address:___________________________________________________ City:_______________________________________________________ State:________Zip:___________ Phone:_____________________ e-mail:_____________________ AMCRC Number (if available) :_____________ CAR INFORMATION Year:_______ Model:_________________ Body Style:_________ Engine__________ Year:_______ Model:_________________ Body Style:_________ Engine:_________ Year:_______ Model:_________________ Body Style:_________ Engine:_________ ~~~~~~~~~~~~~~~ If you have any cars or parts which you wish to sell or buy, list them below: FOR SALE: _______________________________________________________________ _______________________________________________________________ WANTED: _______________________________________________________________ _______________________________________________________________ BASIC CALENDAR YEAR MEMBERSHIP DUES
Domestic U.S. Membership	US	$7 .00

Make checks payable to: "Peter Stathes" --------- and mail to: Metropolitan NY/NJ AMC Rambler Club C/O Peter Stathes 51 Twin Lawns Ave Hicksville, NY 11801 --------- Home .