MEMBERSHIP
APPLICATION
JOIN US
THE RAPID MUSTANG & FORD CLUB OF THE
BLACK
HILLS
103 STARLING COURT, BOX
ELDER, SD 57719
www.rapidmustangford.org
AND SHARE YOUR LOVE OF THE FORD AUTOMOBILE
ANNUAL MUSTANG AND ALL FORD SHOW; SPRING/FALL RUNS; FALL PICNICS; GO TO OTHER SHOWS, ALL ACTIVITIES FAMILY ORIENTED
NAME____________________________SPOUSE________________
ADDRESS__________________________PHONE________________
CITY, STATE -
ZIP________________________________________
TYPE OF
MUSTANG/FORD OWNED - YEAR____ STYLE_______
CONVERTIBLE___2/4
DOOR______STOCK______ MODIFIED___
YOUR EMAIL
ADDRESS__________________
PLEASE USE THE BACK
TO TELL US A LITTLE ABOUT YOURSELF &
YOUR FAMILY, SPECIAL TALENTS, ETC.
NEW MEMBERS SHALL PAY
DUES AT A PRORATED RATE OF ($1.50)
PER MONTH FOR THE
REMAINDER OF THE
CALENDAR YEAR.
THANK YOU FOR YOUR
INTEREST IN OUR ORGANIZATION.
If you wish call :President
Leah Lutheran 342-0719
or V.P.
Tom Lowther 718-3691
OWNERSHIP NOT ESSENTIAL - ENTHUSIASM IS