Membership Application

Member 1

Member 2

Home Phone

Address

Children Living at Home

National Organizations

It is highly recommended that club members be a member of the Model A Ford Club of America (MAFCA) to maintain our event liability insurance.

My Model A Vehicles

Model A #1
Model A #2
Model A #3
Model A #4
Model A #5
Model A #6
Model A #7
Model A #8


Membership Dues and Fees
One membership per family which includes one DMAFC red vest, one membership roster (no cost if picked up at mtg.), & electronic copy of the club newsletter - The Quail Tale $30
Additional copies of the roster may be purchased for $5 each. How many additional copies would you like?
Would you like to have the club roster(s) mailed to you at a cost of $7 each?