Austin Healey Club of Oregon

Print page, fill out form and mail to address below.

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________ New Member(s) _________ Renewal
Membership for the calendar year entitles you to participate in all Club activities plus a one year subscription to Healey Northwest, the Club’s monthly magazine. Your membership renewal is due on January 1 of each year with a final deadline of February 15 before your magazine subscription is terminated due to non-renewal. Dues are $25 per individual or couple (non USA applicants must add $10 to cover the additional postage). All amounts are in US dollars. Please make checks payable to:

Austin Healey Club of Oregon
Skip Monaco, Membership Chairman
7710 SW 89th
Portland OR 97223

New Members only:

After July 1, dues are ½ price for the remainder of the year. After August 31st, full dues will cover the remainder of the current year plus all of the following year.

Member Data: All members please complete:
Name ______________________________________ Birth month: ___ Day _____
Spouse/friend ________________________________ Birth month: ___ Day _____
Street ______________________________________________________________
City _________________________ State ____ ZIP _________ Phone _________
email address ________________________________________________________
Occupation __________________________________________________________
(New members) How did you find out about the Club?

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