OREGON REGION

of the
CLASSIC CAR CLUB OF AMERICAN

   Membership Renewal – 2009

   Annual membership dues:                  $ 35.00
   Annual associate dues:                       $  5.00
   Optional Oregon Region name tag         $ 5.00 each

   Names for name tags _____________________________
                                   _____________________________

Here is my check for $________ for my 2008 membership dues and name tags in the Oregon Region.
 

NAME__________________________ASSOCIATE(Spouse)_____________________
ADDRESS__________________________________CITY_______________________
STATE___________________ZIP___________HOME PHONE___________________
WORK PHONE_______________FAX__________ E.MAIL______________________

FULL CLASSICS OWNED (CHANGES FROM LAST YEAR) ADDITIONS AND DELETIONS FROM OUR 2002 ROSTER ONLY, PLEASE

MAKE            YR    CYL   MODEL                    BODY STYLE                  ADD/DEL

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Please print this form, fill out and mail with your check to Membership Chairman, Bob Earls, 14104 SE Oatfield Rd, Milwaukee, OR 97267. If you have any questions, please call me at 503 786 1606 or email me at  Bob Earls  corvairdude@comcast.net

Membership in the National CCCA is a prerequisite for membership in the Oregon Region. (Please call Bob Earls if you do not have a National renewal form) Nationals renewal form and your dues to it should be mailed direct to Classic Car Club of American, 1645 Des Plaines River Road #7, Des Plaints, IL 60018

Club year beings November 1. All amounts payable in US funds

Bob Earls, Membership Chairman