PO Box 3062
Mooresville, NC 28117

Membership Application (Renewals Only)

Name:

Address:

City: State: Zip:

Telephone: ( )

Membership#

T-Shirt Size: S M L XL XXL (circle size)

Membership Renewal includes the following:

Special 10th Anniversary T-Shirt
Special 10th Anniversary Visor
Special 10th Anniversary 3" Round Decal

Membership Dues:

Annual Membership Fee: $24.00 per person
Non U.S. Residents: $35.00 per person (US Funds)

ALLOW 4-6 WEEKS FOR DELIVERY
*Mail this application with your check or money order to the address above.