Monthly Magazine - "Smoke Signals"

PONTIAC OAKLAND CLUB INTERNATIONAL

MICHIGAN WIDETRACKERS

MEMBERSHIP APPLICATION

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

POCI monthly magazine - “Smoke Signals”.

Free monthly advertising - “Smoke Signals”.

“Tracker” newsletter printed Bi-monthly.

Monthly meetings.

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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

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*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: _____ _____ _____ _____ _____ _____ _____