|
MEMBERSHIP APPLICATION |
|
Name |
Age |
|
Address |
|
City |
State |
Zip |
|
E-Mail |
Phone |
|
|
|
NOSTALGIA S/S INFO |
|
(PLEASE ATTACH PHOTO OF CAR) |
|
Yearly
Dues: $50 for Racers ($100 after May 11, 2008),
$20 for Non-Racers
MEMBERS RECEIVE:
- CLUB
DECALS
- MEMBERSHIP
CARD
- MONTHLY
E-MAIL NEWSLETTER
|
Print out this form and send a check
for $25.00 (or $20.00) to:
E.C.N.S.S.A
P.O. Box 284
Egg Harbor City, NJ 08215-0284 |