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THE MICROCAR & MINICAR CLUB
MEMBERSHIP APPLICATION
If you would like to join the Microcar & Minicar Club please fill out this form and include
it with a check for $25.00 for U.S. membership ($35.00 in Postal Money order in U.S. funds for overseas membership)
made out to the Microcar & Minicar Club.
Mail to
The Microcar & Minicar Club P.O. Box 43137 Upper Montclair,
NJ 07042-0137
Name ____________________________________________
Address _________________________________________
City/State/Zip/Country____________________________
Phone
(_____) ___________________________________
Email ___________________________________________
Car Owned
Year
____________ Make________________ Model___________
Body Type ______________________________________________
Chassis
# ___________________ Body # ___________________
Engine # ___________________ Color ___________________
Condition
______________________________________________
For Additional cars please attach additional pages.
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