Pontiac Oakland Club International
Michigan Widetrackers
Membership Application
Local / National / International contacts
Monthly Magazine - "Smoke Signals"
PONTIAC OAKLAND CLUB INTERNATIONAL MICHIGAN WIDETRACKERS MEMBERSHIP APPLICATION _____________________________________________________________________________________ Benefits of Membership: Local, National, & International contacts. POCI monthly magazine - “Smoke Signals”. Free monthly advertising - “Smoke Signals”. “Tracker” newsletter printed Bi-monthly. Monthly meetings. _____________________________________________________________________________________ Today’s Date________________________ Primary Member:_____________________________________________ Birth Date_________________ Spouse or Associate Member: ___________________________________ Birth Date_________________ Address: ____________________________________________________ Phone:____________________ City, State and Zip:____________________________________________ Email:____________________ POCI #: ________________________ Signature:_____________________________________________ MUST BE A CURRENT MEMBER OF POCI TO JOIN WIDETRACKERS. Children: ____________________________________________________ Birth Date________________ ____________________________________________________ Birth Date________________ Classic Cars: Year Make *Style # # of Cylinders _____________________________________________________________________________________ _____________________________________________________________________________________ *Located on firewall. If unavailable give description of model. 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 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: _____ _____ _____ _____ _____ _____ _____