Kars Unlimited

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PRINT AND FILL OUT AND BRING TO REGULAR MEETING

                                           

                               KARS UNLIMITED INC. – APPLICATION FOR MEMBERSHIP

 

 

NAME:___________________________________________               DATE: _______________________

 

MAILING ADDRESS: _____________________________________________________________________

 

CITY: ___________________________________   STATE: ____________    ZIP: ___________________

 

DATE OF BIRTH: _____________    SEX: _____________   MARITAL STATUS: __________________

 

DO YOU POSSES A VALID DRIVERS LICENSE?    YES ______  NO ______

 

IN NO TO THE ABOVE, HAS YOU LICENSE BEEN SUSPENDED?    YES _____ NO _____

 

IF “YES” TO THE ABOVE PLEASE EXPLAIN: ____________________________________________

 

_______________________________________________________________________________________

 

 

DRIVERS LICENSE NUMBER: _________________________    STATE ISSUED: ______________

 

DO YOU HAVE ANY SPECIFFIC AREAS OF INTEREST?  CHECK ALL THAT APPLY:

 

STREET RODS: _____     MUSCLE CARS: _____    ANTIQUES:        _____      RESTO MODS: _____     

 

LATE MODELS: _____   IMPORTS:          _____      TRUCKS:             _____     RACE CARS:      _____   

 

  CORVETTES:   _____       RAT RODS:       _____  MOTORCYCLES: _____  OTHER: _________

 

LIST ANY VEHICLES THAT YOU OWN THAT YOU MAY WISH TO SHOW, RESTORE, OR MODIFY:

 

MAKE:                                  MODEL:                                                               YEAR:                   

 

_________________                ___________________________________            ___________________

 

________________                 ____________________________________          ____________________

 

_______________                   ___________________________________           ____________________

 

OWNERSHIP OF A VEHICLE IS NOT NECESSARY TO BE A MEMBER OF KARS UNLIMITED AND WILL NOT AFFECT YOUR MEMBERSHIP.

 

I UNDERSTAND THAT MEMBERSHIP DUES ARE $10.00 PER YEAR PAYABLE UPON ACCEPTANCE INTO KARS UNLIMITED INC.  DUES MUST BE RENEWED ANNUALLY.  BY SIGNING AND DATING THIS FORM I ACKNOWLEDGE THAT THE ABOVE INFORMATION IS TRUE.

 

 

SIGNATURE: ______________________________________________   DATE:______________              

 

2010 KARS UNLIMITD INC.  P.O. BOX 851 COVINGTON VA, 24426