Membership Application Today's Date ______________________________
Primary Member _______________________________________Birth Date_______________ Spouse or Associate Member______________________________Birth Date_______________ Address: ______________________________________Phone:__________________________ City, State and Zip______________________________________________________________ Email: _________________________________@____________________________________ POCI #___________________ Signature: __________________________________________ YOU MUST BE A MEMBER OF POCI TO JOIN MOTOR CITY POCI Children: _____________________________________________ Birth Date: ______________ _____________________________________________ Birth Date: ______________ Classic Cars: Year Make *Style # # of Cylinders _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ *Located on firewall. If unavailable give description of model Membership dues for THE MOTOR CITY CHAPTER are $20.00 per year. Dues are to be paid the first day of each May. If joining for the first time dues will be pro rated at $1.70 per month. Please pay by cash or check made out to: THE MOTOR CITY CHAPTER. Return this application and dues to: MOTOR CITY POCI C/O Kendra Klein 7065 Howell Ave. Waterford, MI 48327 Email: motorcitypoci@yahoo.com Below this line is for office use ____________________________________________________________________ YEAR: _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ ____ New member______ Renewal________Copyright 2007 Motor City Chapter - POCI, All Rights Reserved Benefits of Membership: Local, National, & International contacts. POCI monthly magazine - "Smoke Signals". Free monthly advertising in "Smoke Signals". "THE SPOKES" Newsletter published bi-monthly. Monthly activities.