MTFCI Member Renewal/Application
Full Name
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First Name
Last Name
Spouse
First Name
Last Name
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
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E-mail
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example@example.com
Type of Membership
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Please Select
New Member
Renewal
MTFCI Chapter
MTFCI Member #
Why did you join the Model T Ford Club International?
Recently Purchased a Model T
Inherited a Model T
Referral from a MTFCI Member or Enthusiast
Plan to buy a Model T in the future
My Model T's
What would you as a new/existing member like to see change or improved in our club? What do you like about the MTFCI?
Membership Type:
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USA - MTFCI 1-YEAR MEMBERSHIP
ONE YEAR, USA INDIVIDUAL/FAMILY
$
50.00
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
CANADA - MTFCI 1-YEAR MEMBERSHIP
ONE YEAR, CANADIAN INDIVIDUAL/FAMILY
$
55.00
Quantity
1
2
3
4
5
6
7
8
9
10
ALL OTHER COUNTRIES - MTFCI 1-YEAR MEMBERSHIP
All other countries
$
60.00
Quantity
1
2
3
4
5
6
7
8
9
10
Payment Methods
Debit or Credit Card
Choose from one of the PayPal options to
make your payment.
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