Membership Application
www.clevelandfieros.com

Membership Benefits: Meetings:
              Held monthly on the second Thursday at Axelrod Pontiac, 6603 Brookpark Rd, Parma, Ohio 44129, 7:30 PM. Door prize donations are always welcome.

Membership dues are $20.00/year, (renewable on your anniversary date).
Mail this application with your check, payable to Cleveland Fieros to:
Pat Ellert, Membership Chairman, 7559 Brecksville Rd, Independence, OH 44131

Name:_______________________________________Spouse/Mate_____________________________

Address______________________________City____________________State______Zip____________

Phone:(        )_______-____________E-Mail:________________________________________________

Age______ Occupation_________________________________________________________________

YEAR FIERO           MODEL   COLOR          STOCK, MODIFIED, OPTIONS:

______________________________________________________________________________________

______________________________________________________________________________________

______________________________________________________________________________________

My interests are:
Technical___    Social___    Rallying___    Cruises___    Other__________________________________________________


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