Midwest Fieros Car Club Membership Application
Print this page and mail to address listed below.
Name_____________________________ Address___________________________ City ____________________State _____ Zip _________ Phone ______________ E-Mail ____________________________ |
Fiero Year_____________ Model ________________ Ext. Color _____________ Int. Color______________ Transmission____________ |
Please fill out and return to Midwest Fieros. The annual fee is $10.00 which will help cover club expenses. Your membership card will be sent to you upon receiving your application. Please send this application and your dues to: Jerry Burrow, 13601 S. 20th St, Bellevue Ne 68123-4737 President, Dick Edzards: 402-496-2610 e-mail: Richard_Edzards@msn.com Treasurer & Scribe, Jerry Burrow: 402-291-1334, E-Mail: 2Mules@Cox.net
Web Site: http://www.midwestfieros.org
|
|