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Ford Galaxie Club of America
member application or
renewal (member number)
Date:
E-mail:
Name:
Address:
City:
State (PROV):
Country:
(Postal Zone) Zip+4:
Telephone:
Can we put this in the club roster? Yes:
No:
Are you willing to help a stranded member (within reason)? Yes:
No:
Do you own a Galaxie?
What year(s):
What model(s):
If you have more than one, let us know what engines, transmission, and body types so we can keep this on file for our parts data base for you to use.
I am interested in the following club services: Shows-
Galaxie Gazette Magazine-
Parts Interchange Information-
Technical Service-
Parts Location Service-
Being part of the technical information committee-
Yes:
No:
Free classified ads, 3 times a year-
(this includes WWW exposure)
Member recommendation service-
(any problems you have with a vendor or parts supplier, let us know and it is kept on record for other members. Sort of like BBB)
The member registry (Buddy Book) is available for
$11.00 to cover postage and printing
CD-ROM Shop manual
$52.00
FGCoA Restoration Resource Book
MEMBER price: $25.00
Club cap with embroidered logo available for
$12.00
pick cap color:
dark blue,
red,
black,
T-shirts:
S,
M,
L,
XL
$18.00
XXL
$20.00
Heavy gauge aluminum sign -
"Ford Galaxie Parking Only"
- all others will be recycled printed in red and white on 3M reflective backing.
$30.00
Please send a photo of your Galaxie(s) so we can keep in on record and place it on the Internet.
(
Subject to quality of picture approval.
)
Annual membership
is
$40.00
for American and
$40.00 for Canadian (
US Funds
) applicants
which includes all of the named services, and a bi-monthly issue of the Galaxie Gazette sent barcoded-presort in the US and 1st class to Canada. Other countries (overseas) membership is
$55.00
in
U.S. Funds
(Postage is currently over $4.00 US for each issue sent overseas.)
3 year
memberships are available for
$100
SAVE $20
Life Memberships
are available.
Sorry, we
CANNOT
accept charge cards
or any funds other than those denominated in US "Dollars".
PLEASE NOTE
: ALL CANADIAN AND OVERSEAS ORDERS FOR CLUB PRODUCTS MUST CONTACT US BY PHONE
OR
E-MAIL
FOR EXACT SHIPPING CHARGES
Please read our
statement of purpose
and then mail completed application with fee and photo to:
rev.4/07
Total sent:
Ford Galaxie Club of America
P.O. Box 429
Valley Springs, Arkansas 72682-0429
If you would like to join or renew using a credit card, click
HERE
.
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