ITEMS TO NOTE:

• Your first year's dues are payable with this application.  Thereafter, annual dues are payable by March 31 of each year.  Annual dues as of January 1, 2001 are $20.
  Make checks payable to Bob Senich!

• You will receive the club newsletter once a month.  The newsletter contains information on upcoming events, weekend cruises, cars and parts for sale, and other general interest features.

• Please fill out the application as completely as possible.  The data in your member profile may be used in the club newsletter.  

• If you have more than one Camaro, please complete a Car Profile for each car.

• ALL PERSONAL DATA WILL BE KEPT CONFIDENTIAL AND WILL NOT BE MADE AVAILABLE TO THE GENERAL PUBLIC WITHOUT YOUR CONSENT.

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Member Profile

Name:____________________________________________________________________

Address:________________________________________________________________

City, State, ZIP:__________________________________________________________

Home phone:____________________;  Work Phone:____________________

E-mail address:_________________________

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Car Profile

Year model:  1967_____;  1968_____;  1969_____

Coupe:_____;  Convertible:_____;  Z28:_____;  SS:_____;  RS:_____

Vinyl or convertible top color:_________________________;  Body color:_________________

Interior color:____________________

Interior style:  Standard_____;  Deluxe houndstooth_____; Deluxe comfort weave_____

Engine:____________________;  Transmission:____________________

Mileage:________________

Rear end:____________________;  Tires:____________________;

Wheels:____________________

Original:_____;  Partial restoration:_____;  Complete restoration:_____

Is your car: Raced?_____;  Shown?_____; Daily driven?_____

Special features and Modifications:

 

 

 

*Note: We can track up to two cars. If you have another Camaro you would like listed, please fill out the same information on the back of the form.

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Please mail to:

North Texas Camaro Club

c/o Brian LaRue

PO Box 160

Aubrey, TX  76227