PPPCC

MEMBERSHIP FORM (Click BLUE Button).

2018 CAR SHOW Registration





2018/2019 MEMBERSHIP APPLICATION 

Pacific Performance Pontiac Club Vancouver BC Canada
P.O.Box 24  Maple Ridge BC  V2X 7E9   Canada

(Please print this page and complete in full )


Name:____________________________________
Spouse/Mate:____________________________

Address:________________________________________________________________

City:__________________________ Prov/State:________________Postal Code/Zip:_______

Phone:________________________Country:______________Date:_________

Email:________________________________

Pontiac's Owned:

Year:___________Model:_________________Style:_____________________

Year:___________Model:_________________Style:_____________________

Do you object to being listed in a Club Directory for members? Y / N

Other Car Club
Affiliations:_____________________________________________________

How did you learn of Pacific Performance Pontiac Club?____________________________

____________________________________________________________________________

Please indicate any areas of interest or expertise you could make available to the club               or members?_________________________________________________________________

_____________________________________________________________________________

Signature:_________________________________


Dues are $30.00CDN per year pro-rated to Feb 1st.

Please contact Membership Chairman for details.

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CLUB
USE ONLY

Date
received:_______________________Dues(amt):__________________________

Member number:_____________________
exp. 02/01/19