THE VETERAN MOTOR CAR CLUB OF AMERICA
PERMIAN BASIN OIL BURNERS
Odessa Chapter
Application for Membership
Dues are $8.00 per family
You must be a VMCCA member to join – dues are $37.00 to VMCCA
Name _____________________________________________________ Date _____________
Spouse ______________________________________________________________________
Address ________________________________________ Home Phone __________________
City ______________________________ State _________________ Zip _________________
Occupation ___________________________________________________________________
Birthdays ____________________________________________________________________
Anniversary ________________ E-mail Address ________________________________
MEMBERSHIP DUES ARE FOR THE CALENDAR YEAR. Applications received after October 1 will apply to the following year.
|
Year |
Make |
Model |
O-Original R-Restored U-Unrestored |
Payments should be made to:
Permian Basin Oil Burners
P. O. Box 12125
Odessa, TX 79768