Application / Renewal Form
2008

Do you have a great picture of your Mustang?
We'd love to feature it on our website.  
Include it with your form, or e-mail a digital copy
to  webmaster@niagaramustangs.com

Name (s) ______________________________________________________________________

Address  _______________________________________________________________________

Postal Code  _____________________        Telephone Number ___________________________

E-mail  __________________________

( Please enclose e-mail address, as our club uses e-mail as a major source of communication )

I authorize the information provided to be published as part of the membership list distributed to
Niagara Classic Mustang Club members:        Yes______        No______

Model_____________________                    Year___________                     Color_____________

     ( Please attach history of the car and comments, such as non-factory modifications, etc. )


Signature __________________________________                           Date___________________
Membership is $35.00 / Year
Please make your cheque payable to:
Niagara Classic Mustang Club
P.O. Box 21003
Northtown Postal Outlet
Welland, Ontario
L3C 7E6