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Model T Ford Club of Tulsa Affiliated with The Model T Ford Club of America (New members and renewals)Please print this form, fill it in, and mail to: Model T Ford Club of Tulsa P.O. BOX 691874 Tulsa, Ok. 74169-1874 Please include your check for $25.00 PLEASE PRINT OR TYPE INFORMATION Member Name ______________________________________________ Mailing Address _______________________E-mail address ________ City _____________________State _____________Zip Code ________ Home Phone_________________Work Phone____________________ Occupation ________________Bus. Name & Add. ________________ Name of Spouse _____________Member of National no____ yes____ National membership number_________________________________ Model "T" Fords Owned: YEAR STYLE CONDITION
OWNERSHIP OF A MODEL "T" IS NOT REQUIRED
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