Membership Application

Date___________________

Name________________________________________

Spouse___________________

Address________________________________________________________________

City_______________________________________

State_____________Zip_________

Phone No._________________________________

Cell__________________________

E-Mail__________________________________________________________________

Car(s) Owned:

Year/Make/Model/Color/Engine/Trans.

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

Do you belong to any other clubs? Yes____No____.

If yes, which clubs?___________ ______________________________________________________________________

Dues are $15 per year. Please make check or money order payable to SNAMC and send to:

 Southern Nevada AMC Club
c/o Ray Hatcher
Membership Chairman/Treasurer
8300 Opal Cove Dr.
Las Vegas, NV 89128

If you have any questions, e-mail Mark at chicago0516@yahoo.com
or Ray at javnray2001@yahoo.com

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