Moses Lake Classic Car Club Membership Application Name __________________________________________________________
Address __________________________________________________________
City, State and Zip __________________________________________________________ Phone__________________________________________________________ E-mail address__________________________________________________________
Year, Make and Model of Car(s)
__________________________________________________________
Make check payable to “Moses Lake Classic Car Club”Send form and $15.00 yearly dues to:
Bob Kent6345 Ferguson Road NEMoses Lake, WA. 98837
Check the web site for location of monthly meeting. www.moseslakeclassiccarclub.com