Membership Application
Annual Membership Application
Please include a $30 (individual) or $40 (family) check payable to the Triad Z Club and mail it with this application to:
Triad Z Club, PO Box 2085, Jamestown, NC 27282
Name__________________________________________________________________
Address________________________________________________________________
City___________________________________State____________Zip_____________
Home Phone____________________________________________________________
E-Mail _____________________________________________________________
Vehicle #1 Model_____________________________________Year_________________
Vehicle #2 Model_____________________________________Year_________________
Areas of interest:
( ) Autocross ( ) Rally ( ) Sports Car Racing ( ) Restoration (
) Drag Racing
( ) Social Events ( ) Car Shows ( ) Tech Sessions ( ) Parts Discounts
( ) Other ____________________________________________________________
_____________________________________________________________________
Check out our sister club in the Triangle!
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