CONTACT INFORMATION
First and Last Name:______________________________________________________________
Spouse's Name:_________________________________________________________________
Mailing Address:_________________________________________________________________
City:__________________________________________________________________________
State and Zip Code:______________________________________________________________
Home Phone:___________________________________________________________________
Work Phone:____________________________________________________________________
E-mail address:__________________________________________________________________
MEMBERSHIPS
Are you a member of the Model T Ford Club of America? Yes No
If so, what is your membership number? ________________________________________
Are you a member of the Model T Ford Club International? Yes No
If so, what is your membership number? ________________________________________
MODEL T FORDS OWNED
Car #1 Year:_________________ Body Style:__________________________________________
Car #2 Year:_________________ Body Style:__________________________________________
Car #3 Year:_________________ Body Style:__________________________________________
Car #4 Year:_________________ Body Style:__________________________________________
HISTORY OF CAR(S)
Brief history of car(s), if known:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
We invite you to join the Texas Touring Ts. Family membership dues are $20 per year and renewal fees are due by the end of January each year. Please make checks payable to Texas Touring Ts.