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TRiumphs Around the Chesapeake, Ltd. TRAC
Membership Application (Please print out this form) Date: ____________________ Name: ____________________________________________________________ Spouse or S.O.: ______________________________________________________ Address: ___________________________________________________________ City: _______________________________State: _________ Zip: ______________ Telephone: Home (_____)__________________ E-mail address:_________________________________ CARS OWNED: (Triumph ownership is not required to join.) Year:________ Model:_____________ Colour:_____________
VIN:_____________
Are you a member of a National Triumph or other British Car organization, for example, Vintage Triumph Registry, 6-Pack, etc? If yes, please list these memberships below: Organization: _________________________________ Member Number___________ Organization: _________________________________ Member Number___________
the "TRAC Record" and access to TRAC's Member Website. (Please make checks payable to "TRAC".) Please mail this form along with your check to: TRAC
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