NAME:______________________________________________________________
ADDRESS:___________________________________________________________
CITY,STATE,ZIP:______________________________________________________
PHONE: (incude your area code)___________________________________________
E-MAIL:___________________________________________________________
NEW - $13 | Renewal - $10 | TOTAL ENCLOSED________ |
AUTO INFO (make, model, year, engine size/type, modifications)
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
INTERESTS__________________________________________________________
____________________________________________________________________
____________________________________________________________________
Send to:
Capri Club of Chicago
7158 W. Armitage
Chicago, IL 60707
Return to the garage
last updated: 12 May 2014
© 1996-2014, all rights reserved