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, Club discount rate for the Historic Races and access to the Members Only portion of our Club Website.  You also receive the Clubs Membership Roster/Directory. 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 __________________________________________________________

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