Moparsunlimited.org



Member #_____________________ Paid_______________ #_________ Date______________ Exp._______ FROM THE CLASSICS, ANTIQUES AND MUSCLE CARS TO THE NEW SPIRIT OF PERFORMANCE AND BEYONDOur purpose is to promote the preservation and restoration of motor vehicles produced by the Chrysler Corporation and to provide a common meeting place for the membership to accomplish the purpose of the Organization and promote goodwill among themselves and their sport. “We don't want to be the biggest--just the best; what else is there?" --Lee A. IacoccaPlease Print or Type: Date ___________________ New ___ Renewal_ __ Name ________________________________________ Age ________ Address _______________________________________________________________ City _________________________State _______ Zip _________Phone (_____)____________________ Email ______________________________________________________________________ Occupation ____________________________________ _____________________________Make and model of car(s) ________________________________________________________________________________________________________________________________________________________Other special interest autos owned (non-Mopar) ____________________________________________________________________________ Would you be interested in a club officer job? __ Yes __ No What special skills do you have that might benefit the club? ____________________________________________________________________________Do you have any suggestions as to the type of activities in which you would like to see the club participate? _________________________________________________________________Any other suggestions or comments? ___________________________________________________________________________What or who encouraged you to join Tacoma Mopars Unlimited? ___________________________________________________________________________Membership Application signature: _____________________________________________ If you are under age 18, for club insurance purposes, we must obtain your parental or legal guardian's signature prior to acceptance of membership with the Tacoma Chapter of Mopars Unlimited. Parent or Legal Guardian signature: _____________________________________________ Please return completed form and membership dues to: Mopars Unlimited - Tacoma Chapter Membership Director P.O. Box 44903 Tacoma, WA 98448-0903 Make checks payable to "Mopars Unlimited"Membership rates (according to month of registration): If you join in the month of - You will owe Jan - Feb - Mar - Apr $20 Add an additional $10 for dual membership (spouse) May - June - July - Aug $17 Sept - Oct - Nov - Dec $25 (which includes the entire next year)Premium (Paid) Membership entitles you to the following; membership card, club window decal (new members only), monthly newsletter (free ads), and parts discounts at participating dealers/businesses. Free (Associate) Membership entitles you to e-mailed newsletters and our thanks for paying ................
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