| DATE: |
| NAME:
|
| SPOUSE'S
NAME: |
| MAIL
ADDRESS: |
| CITY
- STATE /PROVINCE - ZIP: |
| COUNTRY: |
| EMAIL:
|
| PHONE:
|
| PLEASE
LIST ANY PACKARD(S) YOU OWN: |
| YEAR/MAKE:
|
MODEL:
|
| YEAR/MAKE:
|
MODEL:
|
| YEAR/MAKE:
|
MODEL:
|
| CONDITION:
|
ORIGINAL
RESTORED |
BEING RESTORED
MODIFIED |
Membership
includes a subscription to Packards International Magazine,
plus our technical newsletter, "The News Counselor,"
four times a year.
If you also join one of the REGIONS at an additional $10-$15 per year,
you'll get that Region's regular newsletters and be invited to go
on their regular Tours.
Membership in Packards International is a prerequisite
for membership in a regional group.
|
|
1 Year U.S. ... $45 |
|
1 Year Canada & Mex ... $50 |
|
1 Year Foreign (payable in U.S. Funds)...$65 |
| |
| VISA
MASTERCARD |
| Name:
(as it appears on card) |
| Account
number: Expiration
date: |
| |
Signature... |
Please fax to (714) 836-4014 or mail to:
Packards International Motor Car Club
302
French Street
Santa
Ana, CA 92701
|
INTERNATIONAL MOTOR CAR CLUB
