Minnesota Autosports Club

 2013 Membership Application

Today's Date  __________________________

Name(s)  ____________________________________________________________

Address  ____________________________________________________________

City ___________________ State _________  Zip ___________________

Home Phone ______-________-_______ Work Phone ______-________-______

Email Address________________________________

With what other car clubs are you affiliated? _______________________

Signature(s) ________________________________________________________

Fee for membership, January through December: $30.00.

Make check payable to "Minnesota Autosports Club".

You have two options 

1. Print out & mail this application with payment to: 

	Dave Kral

	5828 W. Meadow Lake Rd.

	New Hope, MN  55428