CENTRAL OKLAHOMA VINTAGE TRIUMPH REGISTER MEMBERSHIP APPLICATION

PLEASE PRINT
NAME: _____________________________________________________________________
(LAST) (FIRST) (M.I.)
SPOUSE/COMPANION: ________________________________________________________
ADDRESS: __________________________________________________________________
CITY: ______________________________ STATE: __________ ZIP: __________________
PHONE (HOME) _______________ (WORK) ________________EMAIL_________________
ARE YOU JOINING AS: ( ) MEMBERSHIP ($15 per person)
( ) RENEWAL, DATE JOINED: _______________________
TRIUMPHS OWNED: MODEL YEAR COMMISSION # CONDITION
(Condition Code: O=ORIGINAL, R=RESTORED, B=BEING RESTORED, P=PARTS CAR)
AUTO #1: ______________________________________________________
AUTO #2: ______________________________________________________
AUTO #3: ______________________________________________________
AUTO #4: ______________________________________________________
SPECIAL INTERESTS (CHECK ALL THAT INTEREST YOU)
( ) SHOWING ( ) RESTORATION ( ) DRIVING & TOURING
( ) ADMINISTRATION ( ) AUTO CROSSING ( ) RACING
ARE YOU CURRENTLY A MEMBER OF ANY OF THE FOLLOWING?
VINTAGE TRIUMPH REGISTER: _____________ IF SO, VTR MEMBER #: ______________________
SIX PACK CLUB: _______________ TR8 CLUB: ________________ SPORT SIX: ________________
TRA REGISTER: _______________ OTHER CLUB: ________________________________________
MAKE CHECKS PAYABLE TO C.O.V.T.R.
MAIL TO: TREASURER, Jim Ware, 2716 Jaclyns Trail, Edmond, OK 73012
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THE VINTAGE TRIUMPH RESGISTER (optional)
Dues: $35 per year
Send to: The Vintage Triumph Register, P.O. Box 655, Howell, MI   48844-0655.
NAME: ____________________________________ SPOUSE: _______________________________
STREET ADDRESS: ______________________________________ TELEPHONE: ________________
CITY: _______________________________ STATE: _____________________ ZIP: _____________
TRIUMPHS OWNED: MODEL YEAR COMMISSION # CONDITION
AUTO #1: ______________________________________________________
AUTO #2: ______________________________________________________
AUTO #3: ______________________________________________________
AUTO #4: ______________________________________________________
CONDITION CODE: O=ORIGINAL, R=RESTORED, B=BEING RESTORED, P=PARTS CAR