Application for

Membership in the Rocky Mountain A’s

 

The Rocky Mountain A’s  are generally located  between Denver and Colorado Springs in the area of Douglas and Elbert

counties in Colorado.  However, members are not restricted to this area.  Meetings of the Rocky Mountain A’s are once a month

at the Franktown Firehouse, located on Highway 83 within 1 block south of the intersection of Highway 86.  Meetings are held at

7:00 PM on the 2nd Tuesday of each Month.  You can get more information at www.rockymountainmodelaclub.org  It is not

necessary to own or have a running Model A Ford to join the club.

 

Last Name: __________________   First Name:  ____________   Spouse’s:  _______________

 

Physical Address:  ___________    ______________________    _______________   _______

                                       Number                                   Street                                               City/Town                       Zip

Mailing  Address:  ___________    ______________________    _______________   _______

 (If Different)               Number                                   Street                                               City/Town                       Zip

 

Home Telephone:  _____ - ________________      Cellular Phone  _____ -  _________________

 

E-Mail Address  ________________________________  Please Provide E-Mail Address since our Club

                                                                                               Communications is primarily by Internet.

 

Your Birthday:  __________  Spouse’s Birthday:  __________  Anniversary:  ______________

 

Model A Ford’s Owned

                Year            Body Type                 Model           Running?           Mileage            Condition                 Year Restored

Car #1:  _____   ____________     _____      ______      _______   _______________    _____

(example)     1931             Tudor Deluxe              55-B             Yes                  645               Newly Restored                  2005

 

Note:  If you have more than one Model A please list them on the back of this form.

 

 Dues are $30.00 for the first year, and $20.00 for renewal.  This includes a full color newsletter that you can view and print from the Internet.  Dues are payable by the 1st of each year and are delinquent after the end of February.

Applicants who apply for membership between September 30 and December 31 will have their dues paid for the subsequent year.

 

If you do not have an Internet connection, we have a means of communicating with you, see one of the club officers.

 

How to Return Your Application

 

By Mail:   Make a check in the amount of $30.00 to:    “The Rocky Mountain A’s” and mail it with

               this application to:        Rocky Mountain A’s,  P.O. Box 67,  Franktown, CO  80116-0067

By Hand:  Bring this application and a check to any meeting.                                    

Version: 10/28/07