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| Membership Form |
Dues are $25.00 a year
(June-June) of following year. |
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| Print and Mail this form with a check Payable to: MHRC care of Dale Nash, Maxi Muffler. 1019 N.W. Broad St. Murfreesboro, Tn. 37129 | ||||||
| Name: | ||||||
| Spouse: | ||||||
| Address: | ||||||
| City: | State: | Zip: | ||||
| Phone# | Cell: | |||||
| E-mail Address: | ||||||
| Birthday: (month only) | His: | hers: | ||||
| Vehicle#1: Make: | Model: | Year: | ||||
| vehicle#2: | ||||||
| Would you be able to help with events? | ||||||
| Do you want your newsletter sent by Mail or by E-mail ? _____________ | ||||||
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Is there something you would like to see the club do?
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Thank you for joining the Murfreesboro Hot Rod Club. |
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