2010 FRMC Membership Application/Renewal Form

Please complete the following form and submit with dues ($30.00/family) to
Randy & Dorinda Mueller , FRMC Treasurer, 4472 Larksong Pl. Castle Rock, CO 80109

Name(s): __________________________________________________________________________________

Address: __________________________________________________________________________________

Telephone # and Email Address: _____________________________________________________________________________

Enclosed is ___ $30.00 for regular membership dues


Signed _______________________________________________ Date _______________

Please let us know your birthdays, anniversaries and any other special dates the club can make special note of:

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Are you a current member of the MCA?

___ Yes -- Member # _________________________

___ No -- May we ask why? ___________________________________________________________

Mustang(s) currently owned:

Year _____ Model _________ Body style ___________ Color ________________ Engine ______ Trans _____
Year _____ Model _________ Body style ___________ Color ________________ Engine ______ Trans _____

Year _____ Model _________ Body style ___________ Color ________________ Engine ______ Trans _____

Any special stories/memories about your Mustang or anything else you would like to share with the club....

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