Michigan Widetrackers

Chapter 16 of Pontiac Oakland Club International

Membership Application

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Benefits of Membership: Local, National, & International contacts.

POCI monthly magazine - Smoke Signals.   Free monthly advertising in Smoke Signals.

Tracker newsletter printed bi-monthly.  Monthly meetings and activities.

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Today's Date:________________________

Primary Member:___________________________________Birth Date:_____________

Spouse or Associate Member: _________________________Birth Date:____________

Address: ____________________________________________________

City, State and Zip:____________________________________________

Telephone:_____________________ Email:________________________

POCI #: _________________ Signature:________________________________________

(MUST BE A CURRENT MEMBER OF POCI TO JOIN WIDETRACKERS.)

 Children: _______________________________________Birth Date________________

                 _______________________________________Birth Date________________

Classic or Collector Cars: Year, Make, Model, Color, # of Cylinders 

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Annual membership dues for WIDETRACKERS is $18.00.  Dues are to be paid each May.

If joining for the first time, dues will be pro-rated at $1.50 per month.  Please pay by cash or check made out to:  MICHIGAN WIDETRACKERS

Return this application and dues to: WIDETRACKERS MICHIGAN CHAPTER 16 OF POCI  

c/o Mike Woody  6057 Washburn Road  Goodrich, MI 48438

Contact Mike Woody for a National Application if needed.

Office Use: local # ______ Year: _____ _____ _____ _____ _____ _____ _____