Arizona Region - CCCA

                                                MEMBERSHIP FORM

Welcome to the Arizona Region, one of the smaller Regions of the Classic Car Club of America, but one of the most active. As you know, the Valley of the Sun offers the opportunity for almost year around enjoyment of your Classic Car. The Region plans monthly events from October to May, such as mini-tours, picnics or a garage hop, but always something where we drive our Classic Cars.  
Dues are $30 a year for active members and $1 for a spouse’s associate membership. REMEMBER YOU MUST FIRST BE AN ACTIVE MEMBER OF THE NATIONAL CLASSIC CAR CLUB OF AMERICA IN ORDER TO BE BECOME A MEMBER OF THE ARIZONA REGION. THIS SAME RULE APPLIES TO YOUR SPOUSE.
Please print this page then complete the bottom portion of this form and send along with your check payable to ARIZONA REGION C.C.C.A. Mail to: GARY CAPRA, 24163 N. 91st St., Scottsdale, AZ 85255. If you have questions, please call Gary at home 480-860-1610 or cell: 480-229-0166.

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NAME: _____________________________________

 

SPOUSE:__________________________________

 

ADDRESS:__________________________________

                    __________________________________

CITY: _____________________________________

STATE: _______________      ZIP: ______________

PHONE (home)_______________________ EMAIL ADDRESS: __________________________
               (work) _______________________
               (fax)    _______________________

 

FULL CLASSIC® CARS OWNED:

MAKE

YEAR

MODEL

# CYL

BODY STYLE

BODY BUILDER

           
           
           
ACTIVE @$30 _________
ASSOCIATE @$1 _________
TOTAL _________

 If you are in Arizona only part of the year, please provide your summer address so we can get the Region’s mailings to you.

ADDRESS:________________________________

                    _________________________________

CITY: _________________________________

STATE: __________________  ZIP:_________

PHONE:    _________________________________ CCCA HOME REGION: ___________________
WE ARE IN ARIZONA FROM: __________________ TO: __________________