CENTRAL INDIANA CAMARO CLUB
Membership Application
*** Print out and mail in with your check ***
Name: _________________________________
Address: ________________________________
City: ________________________
State: __________
Zip: ___________
Home Phone: _______________________________________
Work Phone: _______________________________________
E-mail Address: ______________________________________
Camaro(s) owned:______________________________________
Special Features:_______________________________________
______________________________________________________
Spouse (if applicable):___________________________________________
Children’s Names (if applicable):_________________________ _____________________________________________________
Tee Shirt Size: ________________________________________
Membership dues are $20.00 per year. Mail application and check, payable to:
Central Indiana Camaro Club
898 Halyard Dr.
Avon, Indiana 46123
_______________________________ ___________
Applicant’s Signature Date
Membership Application
*** Print out and mail in with your check ***
Name: _________________________________
Address: ________________________________
City: ________________________
State: __________
Zip: ___________
Home Phone: _______________________________________
Work Phone: _______________________________________
E-mail Address: ______________________________________
Camaro(s) owned:______________________________________
Special Features:_______________________________________
______________________________________________________
Spouse (if applicable):___________________________________________
Children’s Names (if applicable):_________________________ _____________________________________________________
Tee Shirt Size: ________________________________________
Membership dues are $20.00 per year. Mail application and check, payable to:
Central Indiana Camaro Club
898 Halyard Dr.
Avon, Indiana 46123
_______________________________ ___________
Applicant’s Signature Date