Norris Lake Mopar
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Official Membership Form
Norris Lake Mopar OFFICIAL MEMBERSHIP APPLICATION Name( )Date( ) Address( ) City( ) State( ) Zip( ) I currently own the following Mopars 1) 2) 3) 4) Miscellaneous Information 1)My favorite types of car events / activities are: 2)Home number( ) Cellnumber( ) The best time to call is ( ) Liability Release Please read & sign 1)I, the undersign, hereby release the officers, and members of the club known as the “Norris Lake Mopar” from any liability or responsibility for anything that may happen to myself, my family, or my vehicles. 2)I agree to abide by the by-laws of the club. 3)I agree to pay $25.00 annual membership fee. Signed ( ) Date ( ) 2009