
Marty Van Scoyk, President
8334 W. Nevada Place
Lakewood, CO 80226
303-989-2523
Instructions: Fill out and print this form. Mail
it no later than
Jan Van Scoyk
8334 W. Nevada Place
Lakewood, CO 80226
303-989-2523
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Home Phone: |
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Email Address: |
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Austin Healey(s) Presently Owned: |
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New
Membership:
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RMHC
Membership |
$20.00 |
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Total Enclosed: |
$_______ |
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Check Number: |
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Make check out to RMAHC AND
MAIL TO:
Jan Van Scoyk
8334 W.
NOTE !!
We are no longer handling
the collection of the other clubs dues. Please send your payment directly to
them. Thanks !