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Airflow Club of America/Membership Form for 2008

MAIL TO:
Dennis Pitchford
14947 Leigh Ave.
San Jose, CA
       95124-4524

 

DUES SCHEDULE (Check One, please.)

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$30.00 per year INDIVIDUAL OR JOINT MEMBERS .
   

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$35.00 per year in U.S. Dollars outside of North America

 

All memberships expire December 31st. Please renew early.

 

AIRFLOW NEWSLETTER subscriptions expire with December issue.

 

Make checks payable to AIRFLOW CLUB OF AMERICA.

 

Member Information

Phone

Name

FAX

Address

Email

City

State_____________Zip

Signature

(not valid unless signed)

Spouse's Name

 

Date

Airflow Information Airflow ownership is not a requirment for Club membership (Please complete in full)

 

1

2

3

4

5

Make

 

 

 

 

 

Year and Model

 

 

 

 

 

Body Type

 

 

 

 

 

Serial Number

 

 

 

 

 

(STANDARD LOCATION IS ON RIGHT FRONT DOOR POST)

Engine Number

 

 

 

 

 

(STANDARD LOCATION IS BOSS ABOVE WATER PUMP ON LEFT FRONT END OF BLOCK)

Present Condition

 

 

 

 

 

 
(Please use standard terminology:  parts car ; restorable ; restoring ; fair orig. ;  good orig. ; xlnt. orig. )
 
	I recently acquired car #_________ above from ___________________
	I do not own an Airflow at present.
	I was referred to the Airflow Club by_____________________________
 

If you have sold one of your Airflows during the past year, please give us the name and address of the buyer. New memberships conferred after November 1st include the next calendar year.