Membership Application

Membership Application

Jaguar Affiliate Group of Michigan
JAGM and JCNA memberships run from Janurary 1st through December 31st. New members who join, on or after October 1st of any year, will become a member of JAGM for the balance of that year. And will become members of JAGM and JCNA for the next succedding year.

New members will receive name badge(s) based on the name(s) provided below. The badges will be mailed to the address provided below.
Membership status*

NewRenewing
First member's name*

First NameLast Name
Preferred name for first member's badge*
First member's email*
example@example.com
Second member's name

First NameLast Name
Preferred name for second member's badge*
Second member's email
example@example.com
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*
Please enter a valid phone number.
You do not need to own a Jaguar to become a member of JAGM/JCNA.

List current Jaguars owned.

Enter additional Jaguars currently owned here.
Payment method?*

Credit CardWill Mail Check
Please mail your check for $70, payable to JAGM, to Jaguar Affiliate Group of Michigan, c/o Pauline Blunt, 4715 Bell Oak Road, Williamston, MI 48895
Pay by credit/debit card*
prevnext( X )
Membership FeeTotal Membership Fee including $3,00 Convenience Fee to cover the cost of accepting credit/debit card.
$73.00
Please verify that you are human*
Should be Empty: