Join Northwest Vintage Speedsters Today

Northwest Vintage
Speedsters
Membership Form
Please Print, Fill in Information and then Mail See below
Name
________________________________________________
Spouse ________________________________________________
Address ________________________________________________
________________________________________________
City
Email
______________________State_______Zip____________ + _________
______________________________________
Home Phone _______________________ Work Phone ___________________
Year of Car ________ (add sheets if you have more cars)
Make & Special Features/Equipment
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
Assigned Vehicle Competition Number ___________
(If you wish to be assigned a vehicle competition number contact West Coast Registry for
Vintage Speedsters - Bob Rankin, 305 NW 2nd St., McMinnville, OR 97128-5404)
Please mail completed form and check, $25.00 USA or $35.00 to:
NWVS
9310 S.W. 175th Ave.
Beaverton, OR 97007-9768