Model T Ford Club of Central Florida, Inc.

 

Application for Membership

Date of Application:_______________________

 

Name:________________________________ Spouses Name:_____________________

Address:_____________________________  City:____________________ State:_____

Zipcode:__________ Home Telephone:_______________ Alt. Phone:_______________

Using Email saves your club at least $4.68 per club member.  Would you like your newsletter via Email ___or  Mail ___  Email Address:____________________________

Are you a current member of the Model T Ford Club International?

Yes ___   No ___        Membership Number: ___________________________

Are you a current member of the Model T Ford Club of America?

Yes ___   No ___         Membership Number ___________________________

Would you be willing to serve the club as (   ) Club President (   ) Club Vice-President       (   ) Club Treasurer (   ) Club Secretary (   ) Touring Committee (   ) Planning Committee (   ) Social Committee (   ) Telephone Committee (   ) Awards Committee (   ) Newsletter Editor (   ) Email Coordinator (   ) Tinkering Tips (   ) Birthdays/Anniversaries

(   ) Hosting a Tour (   ) Hosting an Event (   ) Hosting a Workshop (   ) Picnics and Parties (   ) Mechanical Advisor (   ) Name Tags, shirts, and hats (   ) Public Affairs

 

What suggestions do you have for the club to provide more interesting activities and events for you as a club member to get more involved and have more fun?

________________________________________________________________________

________________________________________________________________________

Please list the year and body style of your Model T’s:

________________________________________________________________________________________________________

The annual membership dues for our club are $10.00 per year non-pro-rated.  All memberships expire on December 31st.  Prompt renewal of your membership will ensure   inclusion in the annual membership directory which will be published March 1st. Membership dues can either be brought to a meeting or mailed care of our treasurer Wanda Johnson at 1173 Palos Verde Dr.  Orlando, FL 32825.  To tour with our club membership in the MTFCI is mandatory for insurance reasons.