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Redwood Coast Miata Club

Membership Application

RCMC was created as a social club of great people who happen to enjoy the Mazda Miata.  Our goal is to share in good companionship as well as experience driving some of the great roads that exist on the Northcoast.  Activities include regular runs to some of our favorite destinations and occasional dinner parties.
Tell us about yourself:
First Name ________________  Last Name ______________________
Address __________________, City _________________, St ____ Zip _______
Phone Number(s):  (     ) ____ - ______, (     ) ____ - ______, (     ) ____ - ______
Email address ______________________________
To participate in driving events, you must be covered by an in-force auto policy.  Auto insurer ______________________________________
What do you most want to do in the club? __________________________________________
About your car:
Model Yr ____  Pkg/Edition _______  Color ________

Modifications ____________________________________

 

Signed:   _________________________  Date:   __________

Mail this application form along with full payment toRedwood Coast Miata Club, PO Box 113 Cutten, CA 95534-0133.  An e-mail to the webmaster when you send in your application would be appreciated.  For more information, check out the Club web site at http://rcmiataclub.tripod.com, or email the webmaster at 2002tise@suddenlink.net.  We're looking forward to showing you the best of the Northcoast, Miata style!

Office Use Only:  Date Rcvd __________   Paid In Full _______   By _________

 

Copyright 2000-2009, Redwood Coast Miata Club.  All rights reserved.