Lakeshore Model A Ford Club - Rochester NY

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LAKESHORE MODEL A FORD CLUB
ROCHESTER, NY

MEMBERSHIP APPLICATION

First Name

Last Name

Address

Phone

Email

MARC or MAFCA Membership Number - (must be a member of MARC or MAFC)

Model A Year & Model (s)

Mail this completed application along with $25.00 annual membership dues payable to Lakeshore Model A Ford Club to the address below.

Lakeshore Model A Ford Club
Attn: Sue Smith
513 Stony Point Road
Spencerport, NY 14559

Any Questions Please Contact Director Pat Lloyd (585) 509-9044

Website created by Jim Burlingame, Dave Vanable and Dick Barrett - Maintained by Tom Burlingame and Dave Vanable

Copyright Lakeshore Model A Ford Club 2016