| Name: |
|
| Email Address: |
|
| Contact phone Number in case of Emergency |
|
| Full Mailing Address |
|
| What County are you located in? |
|
| What chapter are you wanting to join? |
|
| What year/years of Mustang's do you own? |
|
| How did you hear about The Mustang Mafia? |
|
| What interested you in our Club? |
|
| Have you ever/or are you in a car club now? |
|
| If you answered yes to the above question tell us the name of the club or clubs? |
|
| Is your mustang original or a custom? |
|
| Have you ever entered a car show? |
|
| If you answered yes to the above question tell us the name of the Show or Show's? |
|
| Have you won any awards with your car and if so which ones? |
|
| What is your Gender? We ask this question so we can plan event to fit the whole club. |
|
| Your Birthday? |
|
| |