APPLICATION

TARHEELTs MEMBERSHIP APPLICATON

FIRST NAME

LAST NAME

SPOUSE

STREET

CITY

STATE

ZIP

Phone 1

Phone 2

Email

MTFCA MEMBER?

MTFCI MEMBER?

#Model Ts owned

YEAR MODEL RUNNING?

If listing more than 1 car use ENTER to list. TAB to move to ACTIVITIES.
Please note if car is in running order

ACTIVITIES YOU ENJOY

TOURING TECH SESSIONS CAR SHOWS PARADES

DUES ARE SENT TO:
Tarheel Ts
10771 US 158
Reidsville, NC 27320
Annual : $20.00
After June 30 -- $10.00