Membership Form

     

Last Name  First Name  Spouse Second Last Name
Address    City   State Zip
Home Phone    Business Phone   E-MAIL   Address Country
Cell Number

Occupation:

      Model MG  Year   Color  Car Number *  Engine Number
Car 1: 
Car 2: 
Car 3:
Car 4: 

               
* Car number and engine number found on 3" x 4" Maker's plate on battery box or toolbox.  The car number may usually be found stamped into the left front frame iron.

    Modifications:    (body, engine, interior, suspension, other)

  History: (Ownership, competition record, interesting or unusual facts)

Do you perform your own mechanical and restoration work?   Yes   No

If so, in which area do you do your best work ? (body, engine, interior, etc.)

It is a requirement for membership that you state that you have insurance on any car you will drive
during a Vintage MG Club of Southern California event.  Please enter your insurance company name and
Liability, Property Damage policy number, and expiration date.

         Insurance Company             Policy Number                     Expiration Date
       
   

Have you been or are you now a member of any other car club(s)? Yes No
If yes, please list them here:

Do you have any special contributions you can make to the club and/or its members?
If so, please list them here:

 What are your favorite auto activities?

After you complete this application form and before you press SUBMIT, please print a copy and mail it with the appropriate funds to our post office box to finalize your membership application.  As soon as we receive that correspondence, you will be sent your membership packet and will shortly begin receiving our monthly publication Octagon Topics.   Note that the initiation fee is a one-time charge, and due only will be collected annually.

If you join in Dues are Membership Fee Total
Apr-June $48.00 $14.50 $62.50
Jul - Sept $36.00 $14.50 $50.50
Oct - Dec $24.00 $14.50 $38.50
Jan - Mar $12.00 $14.50 $26.50

Make Checks Payable To VMG

Mail check,  along With This Completed Form

To:
 

Vintage MG Club of Southern California

P.O. Box 10476

Santa Ana,  CA 92711-0476

                     

Enter the following security code:  9917   

                                      

 

 

 

 

 

Send mail to webmaster@vintagemg.com with questions or comments about this web site. Copyright 2012 Vintage MG Club of Southern California 

 
HOME
  |  ABOUT US  |  SEARCH  |  CONTACT

 
Copyright 2004 Vintage MG Club of Southern California. All rights reserved.