APPLICATION TO JOIN THE
FALCON CLUB OF AMERICA
ERIE CANAL CHAPTER
( Print this page and send to Roger Grove )
NAME _____________________________________________________
SPOUSE ____________________________
ADDRESS ___________________________________________________
CITY ______________________ STATE _________ZIP_____________
TELEPHONE __________________________________
FALCONS YOU OWN :
BODY STYLES: _____________________________________________
___________________________________________________________
WHAT CLUB ACTIVITIES INTEREST YOU ?
MEETINGS_________________TOURS______________________
CAR SHOWS_______________OTHER______________________
DUES ARE $15.00 PER YEAR
RETURN APPLICATION AND MAKE CHECK PAYABLE TO :
Roger Grove
11 Hammond Pkwy
Middleport, N.Y. 14105