RETURN APPLICATION AT: 2nd TUESDAY MEETING 7:P.M.
AT FUTURE FORD IN THE ROSEVILLE AUTO MALL



APPLICANT’S
NAME:
____________________________________________________________________BIRTHDAY___
_____________
SPOUSE
NAME: ______________________________________________
BIRTHDAY______________ANNIVERSARY__________
MAILING ADDRESS:
________________________________________________________________________________
____
CITY____________________________________________________________________STATE__
_______ ZIP___________
Phone (Home) __________________ Cell:______________ E-Mail:______________________
Our club Bylaws require that you must be a member of the Classic Thunderbird Club International
(CTCI). If you
are a current member indicate your CTCI #_______________. (It is your responsibility to pay your
national dues to
CTCI). A national membership application is attached. If you are not a current CTCI member, your
membership
will be verified at a later date.
My Thunderbird is a _____1955 _____1956 _____l957. License Plate Number:
__________________
What club member interested you in joining our
club______________________Newspaper/Other______________
A brief description of your classic Thunderbird as to length of ownership, color, any special features
or information
of interest.
________________________________________________________________________________
____________
________________________________________________________________________________
____________
In what way can the club continue to stimulate your interest
____________________________________________
________________________________________________________________________________
____________
Enclosed is my Check _______ Cash________ Money Order _______ in the amount of
$________________
I (we) certify that the insurance coverage on our Classic Thunderbird used in club functions will be in
compliance
with at least the minimum set forth in the California Department of Motor Vehicles Code. It is
understood to drive
any vehicle on a SCTC club activity, current membership is required in CTCI (national organization). It
is
understood that the Sacramento Classic Thunderbird Club will not be responsible for damage or loss
to a car or
contents at any time.
Signed_________________________________________________________Date:
__________________________
MEMBERSHIP DUES INFORMATION
Initiation Fee $15.00 (Membership reinstatement requires Initiation Fee) $____________
Annual Dues $25.00 (January 1st through June 30th) $____________
$12.50 (July 1st through October 31st) $____________
$25.00 November 1st through December 31st) $____________
(Constitutes payment in full for ensuing new year)
TOTAL PAID $____________
Make check payable to the Sacramento Classic Thunderbird Club and mail to the address above.
CLUB USE ONLY
Membership Application Accepted (Date)______________ CTCI Membership verified (Date)
_______________
Membership Chair Signature______________________ Date____________ Membership Kit
Presented_______
Editor_____ Name tags______Birth/Ann log______ Roster++____ E-mail ___ (A/O 1-2-12)

RETURN TO TOP OF PAGE
click here for membership form