Bluegrass Mustang Club
Membership Application

Complete this application and click the "Print" button your computer to print this form

A Charter Member of the Mustang Club of America 

The dues for a membership in the Bluegrass Mustang Club are $20.00 per year.
$15.00 for MCA members.

The dues entitle the member to a Club membership card and member information items such as a roster. Upon receipt of the membership dues and a completed application, a copy of the current newsletter will be sent.

The BMC is a not for profit group of people with a common interest. All funds are used to cover the cost of operation, supply items for the clubs scheduled activities, and to various worthy causes.

Name
Address
City, State.
Postal Code
Country 
A/C & Phone
E-Mail Address
example stangman@aol.com

Please make your checks payable to:
Bluegrass Mustang Club
Mail to: P.O. Box 910712
Lexington, KY 40591-0712

Are you a member of any other Mustang club?   No    Yes, Club name and Location:


 List your Mustang(s) Year(s) and Model(s):

Engine    Color


          List your special skills and interest

 



   
Special Features

 



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