Membership

FRMC Membership Application/Renewal Form

Please complete the following form and submit with dues ($50.00/family) to
Tom Ferguson , FRMC Treasurer, 525 Fox Hunt Cir., Highlands Ranch, CO 80126
Member Name Badges are available for $12:00.

Name(s): __________________________________________________________________________________

Address: __________________________________________________________________________________

Telephone Number(s): Home____________________________  Cell__________________________________

Email Address: _____________________________________________________________________________

Enclosed is ___ $50.00 for regular membership dues


Signed _______________________________________________ Date _______________

Please let us know your birthdays, anniversaries and any other special dates the club can make special note of:

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Are you a current member of the MCA?

___ Yes -- Member # _________________________

___ No -- May we ask why? ___________________________________________________________

Mustang(s) currently owned:

Year _____ Model _________ Body style ___________ Color ________________ Engine ______ Trans _____

Year _____ Model _________ Body style ___________ Color ________________ Engine ______ Trans _____

Year _____ Model _________ Body style ___________ Color ________________ Engine ______ Trans _____

Any special stories/memories about your Mustang or anything else you would like to share with the club....

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