La Societe des Quarante Hommes et Huit Chevaux
NATIONAL PAST CHEF DE GARE CLUB
MEMBERSHIP APPLICATION FORM
NAME:
ADDRESS:
CITY:
STATE: ZIP: PHONE:
GRANDU: VOITURE #
INITIAL DUES ARE- $15.00
INCLUDED ARE- MEMBERSHIP CARD, CERTIFICATE AND PIN
RENEWAL DUES REMAIN AT $10.00
CHARTER MEMBER RENEWALS FOR YEAR(S):
NON-CHARTER MEMBER RENEWALS FOR YEAR(S):
"NEW MEMBER" INITIAL DUES FOR YEAR OF:
YEAR(S) SERVED AS LOCALE CHEF:
YEAR(S) SERVED AS GRAND CHEF:
VISA OR MASTERCARD # EXP.
AMOUNT PAID $
To print the membership application form click Here.
