Date: ___________________ National Member Number ____________________
MEMBERSHIP APPLICATION
EARLY FORD V8 CLUB of AMERICA
San Diego Regional Group #19
Dedicated to The Restoration and Preservation of
1932 1953 Ford Motor Company Vehicles
Name ____________________________________ Spouse Name _____________________________
Birth date (month/day)______________________ Birth date (month/day)______________________
Street ___________________________________ City _________________________ State ______
Zip Code ____________Phone (home)_______________________Phone (work)______________________
Wedding Anniversary _______________ e-mail address __________________________________
Early V8's Year Body Style Condition
____________________________ __________________________ ________________________
____________________________ __________________________ ________________________
____________________________ __________________________
________________________
List Others on Reverse
The San Diego Regional Group is a Chapter of the Early Ford
V8 Club of America. Ownership of a 1932-1953 vehicle is not required
for membership. In accordance with local and National By-Laws,
members of the San Diego Regional Group must also maintain membership
in the Early Ford V8 Club of America.
Dues for the San Diego Regional Group are $20 per year ($22 if
Joint Membership). If you are not a National member, simply
include National dues as listed below and the San Diego Regional
Group will complete and forward your National application for
you. If you are currently a National member, payment of dues
will automatically extend your National dues expiration date by
one year from your current expiration date. (National dues are
on a "cycle" basis, meaning renewal date is based on
when you join, not the calendar year)
________________________________________________
Applicant's Signature
By signature hereon, applicant does hereby release and hold
harmless the San Diego Regional Group of the Early Ford V8 Club
of America from any liability or responsibility for any damage
or injury to applicant's vehicle arising from any function or
activity of the organization.
Send This Form With Payment To: Dues:
Paula Pifer $20 SAN DIEGO V8 CLUB ________________
3558 Bentley Drive $22 - SAN DIEGO V8 CLUB(joint) ___________
Spring Valley, CA 91977 and
$35 NATIONAL V8 CLUB (full)______________
Make Checks Payable to: or $38 NATIONAL V8 CLUB (joint)_____________
EARLY FORD V8 CLUB or $10 ASSOCIATE (no V8 Times) ______________