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Early 911S Registry Membership Form
PLEASE PRINT THIS APPLICATION
To join or renew an existing membership, please print
this form and send it, along with a check for $30.00 US ($40.00 foreign), to
the address below. You will also receive our quarterly publication, "The
Esses". Make check (drawn on US bank) payable to: Early 911S Registry.
Visa/Master Card also accepted.
New member [ ] or Renewal [ ]
(Please check one.)
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Name:
___________________________________________________________
Address:_________________________________________________________
_________________________________________________________
PHONE:(W) ______________________________
(H)________________________
Email Address:
_____________________________________________
My early 911: T E S Other ______(specify)
One of the main reasons the Early 911S Registry exists
is to compile an exhaustive list of as
many early S's as possible. If you own an "S" , the following information is
essential!
Year: __________ Color __________ Targa: _____ Coupe:
_____ Sunroof? (Y/N): _______
Chassis#: __________________________
Engine#:________________________
Any interesting details or history?
_____________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
At the end of every calendar year, we publish and
distribute (to members only) a complete list of members and their cars (The
Registry).
We need to know how much of your information you want included in the list.
________ OK to publish everything.
________ Publish name, phone and state only. NO ADDRESS.
________ Publish NAME ONLY -- nothing
else.
________ Other (specify)
__________________________________________
For additional information:
hammondms@earthlink.net
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Print this form, complete and mail with payment to:
Early 911S Registry Membership
c/o Michael Hammond
433 Maryland St.
El Segundo, CA 90245-3814
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