Membership Application

 

Capitol City Thunderbird Club Inc

Austin, Texas

 

The by-laws of the Capitol City Thunderbird Club Inc. do not require membership in the Vintage Thunderbird Club International to belong to the local club, however; you must be a member of VTCI to compete in National and Regional Events, and to be covered by the National Club Liability Insurance Policy.

 

Capitol City Thunderbird Club Dues are $24.00 per year effective January 1, 2009.  All dues are due no later than 31January.  Members not paid by that date will be dropped from the roster.   Prospective members see chart below.

 

 

NAME: ____________________________________BIRTHDAY____________________________(Mo/Day Only)

 

SPOUSE: __________________________________BIRTHDAY____________________________(Mo/Day Only)

 

STREET ADDRESS: __________________________________________________________________________

 

CITY___________________________STATE__________________________ZIP__________________________

 

E-MAIL: ________________________________________

 

TELEPHONE NO:  HOME______________________OFFICE____________________CELL__________________

 

ANIVERSARY DATE ________________________________

 

T-BIRDS OWNED:         YEAR ____________________ MODEL __________________

 

                                       YEAR ____________________ MODEL __________________

 

                                        YEAR ____________________ MODEL __________________

 

MEMBERSHIP IN OTHER T-BIRD CLUBS __________________________________________________________

 

PERSONAL DATA:  (Not Mandatory)

 

EMPLOYED BY ________________________________ SPOUSE ___________________________________

 

ORIGINAL HOME TOWN/S___________________________________________________________________

 

Dues payable according to month you join.

January - $24.00                 June - $14.00                       November - $4.00

February - $22.00                                July - $12.00                         December - $2.00

March - $20.00                     August - $10.00

April - $18.00                        September - $8.00

May - $16.00                        October - $6.00

 

Make checks payable to Capitol City Thunderbird Club Inc and mail along with completed CCTC application to:  Sid Sokol, Treasurer

2405 Ambush Canyon, Leander TX 78641

1/21/10