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Membership Application

Vintage MG Car Club of Chicago

Name____________________________________________ Spouse______________________

Address ________________________________________________

City ______________________________ State ___________________ Zip ______________

Phone (_____)_______________ Work (_____)_______________ Email _________________

Please tell us about your MG(s):

Year Model

______________________________________________________________

______________________________________________________________

______________________________________________________________

Are you interested in:

Tech Sessions_____ Rallye's_____ Sunday Brunch_____ Garage Visits_____ Vintage Racing_____

Do you need help with your MG? If so what kind of help?

_______________________________________________________________

Dues are $25 per calendar year.

PLEASE PRINT THIS FORM OUT AND SEND YOUR CHECK PAYABLE TO:

Vintage MG Car Club of Chicago

mail to:

Vintage MG Car Club

c/o Bill Dobeus

1556 Tara Lane

Lake Forest, IL 60045