HMGCC             

Membership Application      (print and mail)

Name: ______________________________________________


Spouse: _____________________________________________

Address: ____________________________________________

____________________________________________________


Home Phone:_________________________________________

Work Phone: _________________________________________

Email Address: _______________________________________

Occupation: __________________________________________

Car Type:____________________________________________

Year & Color:________________________________________

Reason for Joining HMGCC:_____________________________


___________________________________________________

What type of events interest you?__________________________

___________________________________________________

Signature:___________________________________________

Date:_______________________________________________

Annual membership dues are $30 per household.

Make check payable to:

The Houston MG Car Club

27334 Karaugh Drive South

Richmond, TX   77406