The 30th T/A Organization Membership Form
(Mail to: Steven Brown/1502 W. Thompson Ave./Enid, OK 73703-7851)
30th T/A Org. Member $20.00 / year (NON-PROFIT)(Please Make Check Payable to Steven Brown)
**Money Goes to Pay For the Website, Forum/Msg board, Club Decals, and Business Cards**
Please feel free to include any info about your car, stories, mods, or some pics for the webpage!
The Membership Includes:
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| Membership Information:
Last Name__________________ First Name____________________ Street Address__________________ Apt. #_________ City_______________ State____________ Zip___________ Phone(home,work,cell) _____________________________(optional) Email Addresses ________________________________________ 30th T/A Information: (please check mark or fill in all that apply) Year 1999 Model Firebird-Trans Am Coupe ____ Convertible ____ Vin# ___________________________ Car# _______ If an official Daytona 500 Parade Lap Car please include the D.A.# _____ If an official Daytona 500 Pace Car please include the P.C.# _____ Transmission _____ Hurst Shifter (if M6) ___ Traction Control ___ Moonsoon CD _____ 12 Disc CD _____ Tape Player _____ |
Business Card______ Window Sticker______ Membership Date___________ Assigned Member#_____________