PNWCC Membership Application

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PNWCC
Membership
Application
Mail $20.00 and this form to:

PNWCC Membership
PO Box 24802
Seattle, WA 98124-0802

Name:_________________________________________________Date:_________________
Address:_____________________________________________________________________
City:_______________________________________State:_________Zip:________________
Phone:____________________________Alt. Phone__________________________________
Email:_______________________________________________________________________

Name	Birthday	Name	Birthday
_____________________________ _____________________________ _____________________________	_____________ _____________ _____________	___________________________ ___________________________ ___________________________	_____________ _____________ _____________

Anniversary:_______________________New Member__________Renewal__________

	Year	Model	Type	Engine	Trans	Color
Camaro #1
Remarks:
Camaro #2
Remarks:
Camaro #3
Remarks:

Interests: (circle all that apply) Cruising Shows Drag Racing Restoring Modifying

Other:___________________________________________________________________

How did you hear about us?________________________________________________

Pacific Northwest Camaro Club (PNWCC) PO Box 24802 Seattle, WA 98124-0802
Email: pnwcc@hotmail.com / Website: www.pnwcc.com