APPLICANT’S NAME____________________________________________________BIRTHDAY_______ ___________________ SPOUSES NAME____________________________________________________BIRTHDAY_______ ___________________ ANNIVERSARY______________________ MAILING ADDRESS________________________________________________________________ ____________ CITY _______________________________________________________________STATE____ ____ZIP________ PHONE (Home) ______________________(Work)__________________E- Mail_____________________________ Our Club Bylaws require that you must be a member of the Classic Thunderbird Club, International (CTCI). Please indicate your CTCI Membership number__________________ (It is your responsibility to pay your National dues direct to CTCI. A National Membership Application is attached. If you are not a current member of CTCI, your membership will be verified at a later date.) My Thunderbird is a _____1955 ____1956 ____1957 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 that may be 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 International. 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 $35.00 (January 1st through June 30th ) $_____________ $17.50 (July 1st through October 31st ) $_____________ $35.00 (November 1st through December 31st) $_____________ (Constitutes payment in full for ensuing new year) (Check #_________ Cash___________ ) TOTAL PAID $_____________
Make checks payable to "SACRAMENTO CLASSIC THUNDERBIRD CLUB" and mail to above address.
FOR CLUB USE ONLY: Membership Application Accepted (Date) ____________________________________________________________ National Membership Application provided with SCTCI Membership Application and in Membership Kit___________ Membership Kit Presented (Date)_____________________ CTCI Membership Verified (Date)__________________ Membership Chair Signature__________________________Date________________ Editor___________ Name Tag(s)____________Birth/Anniv. Log_________ $$ to Treasurer__________ (Appl. A/O 1-15-06 )
