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Last revised 10/7/07

MEMBERSHIP APPLICATION
NORTH GEORGIA CHAPTER, SDC

Dues: $10.00 per year - January through December, $5.00 if joining after July 1st

To join the North Georgia Chapter, print out this page, complete the application and send it with your check or money order in US funds to:

North Georgia Chapter SDC
c/o Chuck Lampman, Treasurer
4141 Lynette Ct.
Kennesaw, GA 30144

Note: You must be a member of the National SDC to join the North Georgia Chapter.

Date of Application _______________________

Name __________________________________ Birth Month and Day _______________

Spouse _________________________________ Birth Month and Day _______________

Anniversary _____________________

Street____________________________________________________________________

City_____________________________________State__________Zip________________

Telephone Number________________________Email ____________________________

Member of Nat'l SDC since _____ Nat'l Membership Nr. _________(On Turning Wheels mailing label.)

Studebakers owned: (Please include year, model, body style and any special features.)

________________________________________________________________________

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________________________________________________________________________

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We would like a picture of you with your Stude to appear in the Members section of this website. Please either send a photo with your application or email one: Untitled Click to email Chuck

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