Manasota Mopar Club
APPLICATION
2008-2009 MANASOTA MOPAR CLUB.INC.(941) 747-6119 LAST NAME-FIRST NAME________________________________________________ SPOUSE______________________________________________
MEMBER DOB_____________ SPOUSE DOB______________
MINOR CHILDREN_____________________________________
ADDRESS____________________________________________
_____________________________________________________
PREFFERED TELEPHONE # ______________________________
E-MAIL ADDRESS_____________________________________
CLUB CAR INFORMATION: SHIRT SIZES : MEN___ WOMEN___
CAR#1______________________________________________
CAR #2_____________________________________________
CAR#3______________________________________________
SPECIAL INTEREST OR ABILITIES,I.E. SWAP MEETS,CRUISES,SHOWS:________________________________
WOULD YOU BE INTERESTED IN A COMMITEE OR OFFICER POSITION? YES___ - NO___
ALL APPLICANTS WILL RECEIVE A COPY OF THE MMC,INC BY-LAWS AND BY SIGNING THIS APPLICATION AGREE THAT THEY NOT ONLY RECEIVED A COPY OF THE BY-LAWS , BUT WILL ABIDE BY AND BE ACCOUNTABLE TO THE MMC,INC BY-LAWS.ALEX AND WANDA DUNLAP RETAIN ALL RIGHTS TO OWNERSHIP OF MMC,INC AND COMPLETE DISCLOSURE OF ALL CLUB ACTIVITIES AND ACCOUNTS WITH THE REGISTERED AGENT BEING A SIGNATURE CARD HOLDER ON THE BANK ACCOUNT AT ALL TIMES.
Membership entitles you to our club newsletter,notification of auto shows & swap meets,parts availability information and meeting a lot of nice people.Club meetings are every third Tuesday of the month .The membership is $25.00 annually per family.Annual( April ) renewal fee is $25.00.I hereby relieve the Manasota Mopar Club Inc., and it's owners,board of directors,officers, and members of all potential liability for any possible harm to my property or for personnal injury which may occur while taking part in any club event,activity or any club meeting.I understand that I must be of legal age ( unless parent signs waiver ) be a Mopar enthusiast,and that my membership is only valid as long as I conduct myself in a moral responsible demeanor. MMC,Inc. is not affiliated or associated with Daimler Chrysler or any of it's subsidiaries in any way shape or form.
Applicants signature and Date :_________________________
Spouse :____________________________________________
Make checks payable to Manasota Mopar Club
Mail to : 2919 39th Street East , Bradenton. Fl. 34208
