Blair County Antique Auto Club
Blair County Antique Auto Club
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___________________________________________________________________________________________________________________________________________________________
Clip Here and Mail in
Membership Application Check for membership should be made out an
Dues $15.00 Please Check One--Renewal_____ or New______ mail to Blair County Antique Auto Club
% Carolyn Wills
Name __________________________________________Date__________ 535 Bottom Road
Ashville,Pa 16613
Address____________________________City_______________State____Zip______
Occupation______________________________Spouse's First Name___________Phone#_______________
Number Of Children:______Children's Ages___________________________________
Note:Owning an old car or having a sponsor is not required for a membership in this club. However,if someone did sponsor you
for membership,please list their name below:
Sponsor Name___________________________
List Old Cars That You Own______________________________________________________________________
All membership expire on January 1st of each year. (all new and renewals are also $15.00)
DEDICATED TO THE PRESERVATION OF OLD CARS AND FAMILY FUN!!!
Clip Here and Mail in
Membership Application Check for membership should be made out an
Dues $15.00 Please Check One--Renewal_____ or New______ mail to Blair County Antique Auto Club
% Carolyn Wills
Name __________________________________________Date__________ 535 Bottom Road
Ashville,Pa 16613
Address____________________________City_______________State____Zip______
Occupation______________________________Spouse's First Name___________Phone#_______________
Number Of Children:______Children's Ages___________________________________
Note:Owning an old car or having a sponsor is not required for a membership in this club. However,if someone did sponsor you
for membership,please list their name below:
Sponsor Name___________________________
List Old Cars That You Own______________________________________________________________________
All membership expire on January 1st of each year. (all new and renewals are also $15.00)
DEDICATED TO THE PRESERVATION OF OLD CARS AND FAMILY FUN!!!
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