MEMBERSHIP APPLICATION

 (PLEASE PRINT)

Check one:    ______ New      ______  Renewal     ______ Membership Information Change

Name: _______________________________________   Spouse: ________________________

Address: _____________________________________________________________________

City/State/Zip:  ________________________________________________________________

Telephone Number(s):  (Home) _____________________    (Cell) ______________________

E-mail Address:  _______________________________________________________________

            DESCRIBE YOUR MUSTANG OR OTHER FORD-POWERED VEHICLE(S)

MEMBERSHIP INFO

Smoky Mountain Mustang Club invites you to join us in our club activities.  We strive to promote the enjoyment of Ford Mustangs, and to have fun in the process.  Club dues are $20.00 for single, and $35.00 per couple and are to be paid on a yearly basis.  Membership package will include a contact list of all SMMC members, a club T-shirt (1 for single membership, and 2 for a couple membership). 

Signature:________________________________________   Date: ____________________

MAKE ALL CHECKS PAYABLE TO:  SMOKY MOUNTAIN MUSTANG CLUB          

P.O. Box  7147,  Maryville,  TN  37801