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 t
he 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.
San Diego Regional Group Dues: National V-8 Club
Dues:
$35 Regular w/V8 Times (single)_____________
$20 - SAN DIEGO (single) ____________ $38 Regular w/V8 Times (joint)
_____________
$22 SAN DIEGO (joint) _____________ $10 with roster no V8
Times (single)__________
$13 with roster no V8 Times (joint)___________
$ 5 per member no roster noV-8 TIMES________
Today's Date:_______________________ National Member Number__________________
Send This Form With Payment To: Paula Pifer, 3558
Bentley Dr., Spring Valley, CA 91977
Make Checks Payable to: EARLY FORD V-8 CLUB
***************TWO CHECKS REQUIRED*****************
(ONE for REGIONAL DUES and ONE for NATIONAL DUES)