Membership Application

 Chapter 44
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Thank you for your interest in the Connecticut Area Classic T-Birds, Inc.  We are proud of our club and welcome your application for membership.

Name:__________________________________ Spouse:_____________________________

CTCI number (if you are currently a member)_________________________

Address:____________________________________________________________________

City:_____________________________________ State:_________ Zip:_________________

Telephone:(_____)_________________ Sponsor (if applicable)__________________________

E-Mail Address:______________________________________________________________

Classic T-Birds Owned (Year/Color):______________________________________________

Other Classic/Antiques Owned:___________________________________________________

How did you hear about our club?_________________________________________________

Other club affiliations___________________________________________________________

Would you like an application to join our National Club, CTCI?  Yes___ No___

To be considered for membership, please include a check for $25 (yearly dues) payable to CT Area Classic T-Birds, Inc. and send with your completed application to the address below:

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