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Pacific
Mountain Cruisers
Application for Membership |
Last Name:________________________ First Name:_______________Spouse:______________________
E-Mail:____________________________Birthday(s)________________Anniversary:___________________
Home Address:___________________________________________________________________________
City:______________________________State:____________________Zip:___________________________
Mailing Address if different:__________________________________________________________________
Home Phone: (_____) ___________________________ Work Phone: (_____) ________________________
Children and other Family members (dogs, cats, etc.): |
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name:
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age:
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birth
date:
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son/daughters/?
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Toyota Ownership Information: You must own or possess at least one Toyota 4x4. |
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make:
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model:
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year:
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license
#:
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If you possess more than 4, you can omit parts & non-running vehicles!!! |
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Pacific Mtn. Cruisers is a recognized Chapter of the Toyota Land Cruiser Association. All members must also belong to the TLCA. Are you currently a TLCA Member (Y/N):____If yes, member #:
If No, it is the resposibility of the Member to obtain TLCA Membership.
Are you affliliated with other four wheel drive organizations (Y/N): ______
Name of Organizations: ___________________________________________________________
NOTE:Dues are payable at our Club Meeting or if unable to attend, you may send Check/Money Order.
Make check payable to Pacific Mountain Cruisers - Membership. You will receive a receipt!
I/We hereby apply for membership in Pacific Mtn. Cruisers. I/We will obey all By Laws, rules and regulations set forth by the elected officials.
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Signature to Join PMC:
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Yearly dues, Pacific Mountain Cruisers:
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$20.00
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Mail completed & signed application with dues to: PMC Membership, PO Box 960, Geyserville, CA 95441
Comments: ____________________________________________________________________