Annual fee of: $25.00 (U.S. funds)
The completed form and annual fee, as established by the Board, shall be due on January 31st of each year. Failure to submit the renewal form may result in being dropped as a region.
All * fields need to be filled in. If information is not available type NA.
Region Contact Person
(Anyone you choose. Their information will appear in the Model "A" News and website):
President or Director
Additional Board Members 1
Editor of your newsletter
PLEASE FILL OUT FORM COMPLETELY
Region Form is due by January 31
Make check out to:
Model A Restorers Club6721 Merriman RoadGarden City, Michigan 48135
Please write complete region name on check.