2001 Skagit-Snohomish Pre

BRASS
RAMBLINGS
Official Publication of the
Skagit-Snohomish Regional Group
Horseless Carriage Club of America
February 2016
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February 2016
Skagit-Snohomish Regional Group
Horseless Carriage Club of America
The Skagit-Snohomish Regional Group of the Horseless Carriage Club of America is a
non-profit organization with an active membership dedicated to the preservation of pre1916 motorized vehicles, literature, accessories, history, and associated items.
Any person/family who is a current member of the Horseless Carriage Club of
America, with interest or ownership in pre-1916 vehicles shall be eligible to apply for
membership. Dues are $15.00 per year and include a minimum of 10 issues of the
Brass Ramblings newsletter annually.
The Brass Ramblings is mailed and e-mailed to local members in good standing, and
e-mailed to other regional groups and the National Board. Permission to reproduce
material appearing in this publication is granted, provided credit is given to the original
source.
2016 Officers
President
Vice-President
Secretary
Treasurer
Keene Brewer
[email protected]
Ray Markley
[email protected]
Gayle Musolf
[email protected]
Vicki Markley
[email protected]
Yakima, WA
(509) 965-1740
Maple Valley, WA
(206) 949-5000
Seattle, WA
(206) 601-9229
Maple Valley, WA
(425) 432-5391
2016 BOARD OF DIRECTORS
Mike Martin, Donna McGinnis, and Robb Johnson (2016)
Tom Brethauer, Pat Farrell, Dave Ellis (2017)
EDITOR
th
Tom Brethauer
23611 39 Pl W
Brier, WA 98036
Regional Web Site:
National Web Site:
http:// www.skagit.hcca.org
http://www.hcca.org
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(425) 402-3960
[email protected]
President’s Ramblings
Somehow I made it to the January meeting and
survived, which was miraculous considering
how many times the pass had been closed that
week. Actually I was quite amazed at the large
turn out and how punctual everyone was for a
January meeting. Something about food being
involved seems to create a draw. Again, I want
to thank Steve Hammatt for putting the meeting
place together and for Chris presenting the
newly created DVD developed by the Horseless
Carriage Education Institution. It looks like we
have a good start on our yearly calendar of
events with a few blanks for the months of
August and October. If you have any ideas or
suggestions for those months feel free to speak
up and we will get something planned. That is a
great time of the year for touring. It looks like the
Ellis’, along with help from others, have a good
start on our Fall Tour called “Panhandle
Scramble”. As usual, Fred Cruger has come up
with an awesome looking logo.
As I ramble on here it is towards the end of
January and February is quickly approaching.
The way I view this time of the year is it is the
beginning of the car auction season and
February starts the swap meet season. In fact
today we wrapped up attending a week full of
exciting car auctions in Arizona. I know most of
you have seen the Barrett-Jackson Auction on
TV and many of you have attended. Did you
know there are at least five other auctions going
on at the same time? There were some very
nice and desirable cars, some so-so cars and a
whole lot of who-really-cares cars. By my way of
thinking there were many cars I would like to
have but they do not quite fit my budget, some
cars that might fit my budget but I really don’t
need and then the ones you could not give me.
Among those cars sold that I would like to see
in my shop and you might like also, included a
1911 Lozier and a 1913 Pierce-Arrow from the
Craig McCaw collection. Perhaps you were one
of the mysterious phone bidders. I saw Con
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Fletcher there and he had his eye on that Lozier.
I did bid on another car but backed off when I
realized it would have been too nice and
expensive to justify driving on the street, so I
rationalized; if I wouldn’t drive it, I shouldn’t buy
it. That logic saved me a lot of money. Hopefully
we can get Chris to write an article about the
auctions. If you are working on your calendar for
the year you might consider two special Swap
Meets coming up. Chickasha comes about the
middle of March and Bakersfield the middle of
April.
We will try to have the February meeting on
Saturday the 13th in Puyallup about 1:00. This
should give you time to cruise through the Early
Bird Swap Meet at the Fairgrounds. Ray
Markley put this together, the details of which
are found elsewhere in the newsletter. See you
at the next meeting after the swap meet.
May the Brass be with you!
Keene
2016 Calendar
Please submit calendar updates to Tom Brethauer
promptly, as future planning depends on this
information.
FEBRUARY 2016
Feb 13
Club meeting, Puyallup,
Charlie’s Restaurant 1 pm
Feb 13-14
Early Bird Swap Meet, Puyallup,
WA
MARCH 2016
Mar 12-13
36th Almost Spring Swap Meet
and Car Show, Puyallup, WA
Mar 17-18
26th Chickasha Pre-War Swap
Meet, Chickasha OK.
Mike Ersland 405-224-9090
Mar 26
Daffodil Festival, Old Fashion
Tweed Bicycle Ride, La Conner
Retirement Center Tour, Meeting
and Car Show, Harold Musolf, III
APRIL 2016
Apr 3-8
HCCA Convention and Tour
“Swarm to Bee Warm”,
Brooksville, FL. Carl Pate
860-614-0875 or
[email protected]
Apr 10-13
Apr 14-16
Apr 23
Apr tbd
MAY 2016
May 9-12
May 14-15
May 22
May 23-26
May tbd
JUNE 2016
Jun 7
Jun 20-23
Jun tbd
JULY 2016
Jul 7-10
Grizzly Bear Tour, Salinas CA
Michael Sullivan 805-728-5317 or
[email protected]
Bakersfield International Swap
Meet & Tour Host – Gil Klecan
(619) 295-8000
Mt Vernon Swap meet
Club meeting and tour, Bob
Monsen coordinating
Western Gaslight 1 & 2 cylinder
tour Oakdale, CA
Seattle Auto Swap Meet,
Evergreen State Fairgrounds,
Monroe, WA
http://seattleautoswapmeet.com/
Brass in Berks Co. Swap meet
Jim Dix 607-562-3501 or
[email protected]
Brass in Berks Co. touring from
Strasburg, PA. Jim Dix 607-5623501 or [email protected]
Tour/meeting Les Gitts
Columbia Highway Centenial
Celebration, Portland, OR,
Regional Group.
60th Midwest Tour Mandan ND
Helen Diemert 701-388-9797 or
[email protected]
Meeting/tour, Robb Johnson
KISS
Tour
Waterville,
WA.
Howard Musolf 206-919-1949
Jul 16
Short tour, meeting, Arlington,
Dave Ellis
AUGUST 2016
Aug 13
New London to New Brighton
Aug tbd
Meeting venue/coordinator tbd
SEPTEMBER 2016
Sep 8-9
Lansing to Dearborn run. John
Grace
734-467-7802
or
[email protected]
Sep 11-14
Panhandle Scramble fall tour,
Coeur d’Lane, ID, Dave and Elaine
Ellis organizing, 360-403-3298
OCTOBER 2016
Oct 5-8
Hershey Swap Meet, HCCA RWO
30, BBQ Friday afternoon
Oct tbd
Meeting venue/coordinator tbd
DECEMBER 2016
Dec tbd
Christmas party, venue and
coordinator tbd
If looking for other auto related events to attend,
a fairly extensive list is found here:
http://www.oldride.com/events/washington.html
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Skagit-Snohomish Regional HCCA January
16th, 2016 Meeting Minutes
Meeting was called to order at 12:00 pm
January 16th, 2016, by President Keene
Brewer at Hubb's Pizza and Pasta Restaurant
in Arlington.
We wish to thank Steve Hammatt for our
meeting location today.
Thirty-one members were present and no
guests.
Minutes: A motion was made by Harold Musolf
Jr to approve the December minutes as printed
in the last newsletter. Motion was seconded by
Skip Arneson and passed. Les Gitts also
made a motion to read aloud the previous
month’s minutes at the next meeting so all in
attendance will know what was stated within
them, and issues may be raised/recalled
appropriately. Motion was seconded by Donna
McGinnis.
Treasurer's Report: Report given by Keene
Brewer, as Vicki Markley was not in
attendance. We are solvent.
Sunshine Committee Report: No one in need
of sunshine was noted. Elaine Ellis will take
over this duty for the coming year.
Old business: 2016 Skagit-Snohomish Fall
Tour in Idaho report from Dave Ellis:
‘Panhandle Scramble’ is the working title, it will
be held at the Best Western Plus in Couer
d’Alene, ID, Sept 11th-14th, Steve Hammatt is
helping with publicity, and Fred Cruger is doing
the graphics. The Martins will make plans for
one day of the tour, and Dave & Elaine Ellis will
take charge of another. Volunteers are still
needed to help round out the plans. Russ
Morgan, Rich Morgan’s son, is also helping
with legwork. We have a BBQ lined up, and
mining activities, with more info to come. Les
Gitts made a motion to have the Ellis’s open a
bank account for the Panhandle Scramble Tour,
be allowed to be signers on said account, and
also be allowed to close the account when tour
activity is complete. Motion was seconded by
Larry Fickeisen.
New Business:
February: meeting will coincide with The Early
Bird Swap Meet in Puyallup, WA. Place & time
to be determined.
March: Harold Musolf III will look into the
possibility of going to the LaConner retirement
community that approached our club for a
possible ‘show’ and lunch. More info to follow.
April: Bob Monsen coordinating something,
possibly in conjunction with the Daffodil Parade.
May: Less Gitts - info to come
June: Rob Johnson - info to come
July: Dave Ellis - info to come
Aug: open
Sept: Panhandle Scramble
Oct: open
Dec: open
Also mentioned: font in newsletter calendar
needs to be changed back.
Howard Musolf is planning a KISS tour in
Waterville WA, July 7th-10th. To be held at the
Waterville Inn.
February 13, 2016, Meeting
Our next meeting will be held on Saturday
February 13th in Puyallup, WA near the Early
Bird Swap Meet occurring at the WA State
Fairgrounds.
The restaurant will be the same as last year for
the February meeting: Charlie's Restaurant, 113
East Main, in Puyallup (253) 845-0588, in the
Brick room. We will meet at 1:00 to give people
more time at the swap meet.
Directions from the fairgrounds: Follow 3rd St
S.E. about 5 blocks, turn left on E. Main.
Charlie’s is on your right.
_____________________________________
**REMINDER** DUES are DUE!!! Send them
to Vicki Markley, if you haven’t already.
_____________________________________
Member Auto Profiled
Les Gitts’ other Ford
Per bylaws, a treasury audit needs to be
performed. Harold Musolf III & Steve Hammatt
have graciously agreed to work on this.
Meeting was put on hold at this point to eat our
lunch. It reconvened at 12:45 pm.
Chris Brewer & Steve Hammatt showed a
video produced by the Horseless Carriage
Education Institution, on which Chris Brewer
serves as secretary. The Institution’s mission is
to educate the public about the brass car era,
1895-1915; not only about the automobiles, but
also about the clothes and music. Chris is also
helping to write curriculum to be used with the
video in schools.
Fred Cruger and Tom Brethauer received
‘highest honors’ for their efforts with the website
and Brass Ramblings, respectively. They will
receive awards at the National Convention in
Florida. Congratulations Fred and Tom!
Mark Shaw moved to adjourn the meeting. The
motion was seconded by Bob Streiter. Meeting
adjourned at 1:35 PM.
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1922 Ford Sedan (Centerdoor). 146,060
Sedans were produced in 1922 and sold for
$645.
I found this car a few years ago and it came from
Keller Bros Ford, in Buffalo Springs, PA, approx.
35 miles east of Hershey, PA. Keller Bros Ford
is a family owned business dating back to the
early twenties and is still family owned today.
Interesting thing about this dealership is they
still possess approx. 100 cars they had sold and
received back as trade-ins dating from the
1920’s up to approx. 1980.
I hope to be close to having this car completed
by the end of 2016.
KISS Tour on Facebook
The photo showing the building is the original
Keller Bros Ford dealership building. When we
were removing this car, there were (4) more T’s
inside, including a 1920 Roadster, which was a
low mileage original, which was nearly perfect
condition, including side curtains. An airplane
was also inside.
There has been a Facebook public page
created by Steve Schmidt for the KISS 1 and 2
cylinder tour, which will be from July 7-10,, 2016,
in Waterville, WA, based out of the historic
Waterville Inn (Note: venue will NOT accept
reservations until March 18, 2016). Howard
Musolf is coordinating this event. Please give
him a call at 206-919-1949 to learn more. Keep
in mind that you will need to have a Facebook
account to view or join this group on Facebook.
There are pictures and video of the last two
tours, with more additions of photos anticipated,
including updates on the upcoming July tour.
This is the link:
https://www.facebook.com/groups/9858420681
25544/permalink/985843288125422/
From within Facebook, you can also search for
the title.... “Kiss Registry of the HCCA”
You’ll know you’ve arrived if you see this main
page logo:
This car has no rust and body is very solid. I
would not have planned on restoration, but they
had sandblasted and primed the body, so this
forces a restoration. Running gear has been all
restored. So far, I’ve gotten the seats re-done.
Next step is having the nickel work replated.
Anyone with a 1 or 2 cylinder car and an interest
is encouraged to come on this tour regardless of
whether you join or view the group on
Facebook.
An Exercise In Title Transfer
by Pat Farrell
After purchasing our 1910 Kissel Kar model D
10 in November 2015, the seller didn't mail us
our car's title until January 4th, 2016. In the
State of Washington, one has 15 days to
transfer ownership of a motor vehicle or a late
fine will be imposed.
My California seller was now living in Texas, and
the Kissel Kar was still stored at his brother's
home in Pasadena, CA. His brother was the one
that had signed the Kissel's November "bill of
sale" for $115,000. On January 8th, 2016, I went
to the Sedro-Woolley DMV for title transfer and
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I was told that my "bill of sale" was no good as I
had made a correction on it. (I had accidentally
dated the bill of sale 2010 instead of 2015 and I
had made a correction.) Corrections on a "bill of
sale" voids the "bill of sale". A late fine would
also have to be imposed because the excessive
delay in title transfer.
Sales tax was now due on the car for either the
"bill of sale" purchase price or on its appraised
value, whichever was higher. As there wasn't
anything listed in the DMV's Old Car's Weekly
Price Guide for a Kissel Kar, DMV told me that I
would have to have the Bellingham office of
Washington Department of Revenue appraise
the car for sales tax purposes. I was given their
appraiser's phone number out of Olympia's
Department of Revenue Office. After about 20
minutes on the telephone, and being switched
from office to office, I finally had the correct
person to talk to. He didn't have any information
on our 1910 Kissel Kar model D10, and I
explained to him that he wouldn't have any
information because there wasn't but two of the
model D10's left in the world.
The appraiser Googled "1910 Kissel Kar" and
he came up with a model D10 for sale in San
Dimas, CA for $135,000. I explained to him that
"it was the same car and that it had been for sale
since February 2015 at $135,000. The seller
had lowered his price to make the sale." I told
him to "call the seller to verify that is what I had
paid." The appraiser finally accepted my
explanation, and then he called Bellingham to
tell them what appraisal figure that he had
arrived at. Making out a new bill of sale having
a current date, being made out without any
corrections, and having my California title in
hand for the Kissel Kar, I paid my $10,000 sales
tax in Bellingham, I did the title transfer in Mount
Vernon, and now the car is in our names. Lots
of leg work!
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The car has a 350 cubic inch 50 hp rated engine
with a 4 speed and is our first gas powered
brass era car.
Member Auto Profiled:
By Keene Brewer
My 1912, Abbott-Detroit is a seven passenger
model 44, serial number 5074. During this time
period Abbott-Detroit used the Continental
engine, and mine is stamped with the date of 0929-1911. With a 4.5” bore and a 5.5” stroke the
engine is rated at 45 to 53 horsepower. The
three speed, H pattern transmission receives
power from the engine through a multi disc
clutch and transfers power to a Timken
differential. This car is painted red (I cannot find
a trace of blue anywhere), is brass, and has
electric lights, a generator and a factory starter.
It was my good fortune that Lorne Walters, in
Chilliwack, B.C., was willing to sell me this
Abbott-Detroit. Before I bought the car I
contacted Fred Cruger and Gale Wilson, both
owning a 1912 Abbott-Detroit model 44 in
different configurations to help me authenticate
what a 1912 Abbott should be. Although I found
some 1912 Abbotts that were brass, my
research told me most were nickel and painted
blue. They did not come with a generator or a
self-starter. The side lanterns and tail lamp
came with a wick and reservoir for kerosene but
also had an electric bulb in the back of the
lanterns. Since the car did not come with a
generator one had to recharge the battery after
using the electric lights.
In 1912, Abbott-Detroit’s were sold through
John Deere Plow Co. dealerships. Apparently
1912 models were over produced or undersold
as I have a letter dated June 13, 1913, from the
John Deere Plow Co. in Dallas, Texas offering
unsold cars to the dealers at a discount from
$2050 down to $1400. The letter goes on to
offer a dynamo (generator) for an extra $75.
Speculating here, I think my car was built very
late in the fall of 1911, as a 1912 model because
of the brass, red color and engine date. It
probably did not get sold and sat parked all year
and into 1913. The factory came out with a selfstarter in 1913, which this car has. It is driven off
the front of the crankshaft, as opposed to being
driven off the flywheel, by means of a chain and
Sprague clutch (sometimes called an overrunning clutch, engages in one direction as the
car is started and then releases and freewheels
as the engine starts). It also has a dynamo.
Again I suspect the car was left over and in order
to get it sold the customer demanded it have the
latest options like a starter and generator or they
would buy a 1913 model.
California to Jekyll Island, Georgia
1985: Portland to Portland Tour, Portland,
Maine to Portland, Oregon
1986: New York to Vancouver, B.C. for the
Expo ‘86
According to the newspaper articles I have, the
1976 event was touted as the “Around the World
Auto Race” and sanctioned as a bicentennial
event. The race was supposed to be a modern
day rendition of the Great Race of 1908.
Originally the cars were routed through Russia
and China to complete the circuit, but the
governments of those countries refused
permission for passage of the vehicles, so the
race was reconfigured. The cars were shipped
to Istanbul, Turkey, to begin the race.
May
Beth
Benore
(Mary
Elizabeth)
accompanied her husband in the race and
according to the articles they carried no spare
parts. They raced across Turkey, Bulgaria,
Yugoslavia,
Hungary,
Austria,
Italy,
Switzerland, West Germany, Belgium, France
and England. In England the competitors and
their cars boarded the Queen Elizabeth II and
sailed to New York City to begin their race
across America.
This car has some unique history. It came from
Ohio and it is thought to have been bought by a
high ranking government official. I have the
names of the owners back to 1921. This car was
most actively toured from 1967 through 2002
when it was owned by Russell L. Benore, who
was apparently quite the antique car enthusiast.
He owned the Hobby Center Toy Store Chain
headquartered in Toledo, Ohio. Under his
ownership the car completed the following tours:
1976: The Tour of Europe and the race from
New York to San Francisco
1979: Can-Am Transcontinental Tour, Key
West, Florida to Halifax, New Brunswick
1982: Pacific to Atlantic Tour, Pebble Beach,
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Along with the Abbott in the race there was a
1914 Dodge Touring, a 1911 Model T Ford and
dropping out of the race in New York was a 1909
Franklin. The race was scheduled to finish in
San Francisco on August 5th but the Abbott
crossed the Golden Gate Bridge in San
Francisco first on August 4, 1976, covering
6,157 miles.
Prior to Mr. Benore’s ownership, the car had
been owned for eighteen years by Gerald P.
Openlander a former US Attorney, living in
Ottawa Hills, Ohio, near Toledo.
Classifieds:
For Sale: 1915 c25 McLaughlin. Restored and
runs well. New vacuum pump. Paid 20,000 in
2008 – Make an offer. Stan Gisborne. Powell
River. [email protected] Cell: 604-414-8335.
We will be starting the tour on Sunday with a
picnic in the park on Beautiful Lake Coeur
d’Alene, where you will have the opportunity to
enjoy the world’s longest floating boardwalk.
On Monday, our touring will take us to the
beautiful St. Maries (pronounced “Mary’s”) area,
while visiting a number of interesting places
along the 90 mile route.
Wanted: 1908 – 1913 winter project car. All
considered. Please call Charlie Baird 250, 8588809 or email [email protected]
Wanted: two rear fenders that would fit a 1930
–1931 Model A coupe/Model A pick up. Call Pat
Farrell 360-856-1294
Wanted: 2 cylinder magneto. Bob Monsen 253229-3456
Wanted: Porcelain signs and old service station
stuff. Tom 425-402-3960
Welcome to the 19th Annual
Skagit-Snohomish HCCA Tour!
We are excited about sharing a ride with you.
We are going to headquarter in Coeur d’Alene,
the sparkling jewel of the panhandle of northern
Idaho.
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Tuesday’s 80-mile tour will take us past gold
and silver mines on the way to Kellogg and the
historic city of Wallace, the “silver capitol of the
world”. We’ll travel through the Silver Valley in
the historic Coeur d’Alene mining district, one of
the world’s richest mining districts, and visit the
Mission of the Sacred Heart, the oldest standing
building in Idaho (est. 1842).
Wednesday will take us to the Hayden Lake
area, along shoreline known as “the Gold
Coast”, renowned for its beautiful lakes and
spectacular recreational areas.
We’ve enjoyed your company in past years and
are inviting you to join us on the PANHANDLE
SCRAMBLE of 2016. Come and renew old
friendships and make new ones. We look
forward to touring with you!
Best regards,
Chairpersons:
Elaine and Dave Ellis
Chris and Keene Brewer
HCCA Skagit/Snohomish Regional Group
Presents the "Panhandle Scramble”
Sun Sept 11th – Wed Sept 14th, 2016
Name of Driver__________________________________________________
Street__________________________City_________________State______Zip____________
Telephone__________________________________email:_____________________________
Names of Passenger(s)__________________________________________________________
____________________________________________________________________________
Insurance Carrier____________________________________ Policy#____________________
Make of Car_________________Year__________Model______________________________
Car& Driver
Qty ____Passengers @ $135.ea.
Total US Funds
Less Deposit ($40 min.)
Balance Due (by Aug 1st)
$ 155
$______
$______
$______
$______
Tour will be headquartered at:
Coeur d’Alene Inn Best Western Plus
506 W. Appleway Ave
Coeur d’Alene, ID 83814
(208) 765-3200 When booking,
mention the Horseless Carriage
All participants get an event-oriented T-shirt
Club tour special $119 rate.
Qty: Men’s S___M___ L___XL___XXL___
NOTE: Banquet scheduled for
Wednesday evening, depart at will!
For those folks in need of RV facilities, we recommend:
Blackwell Island RV Park, 800 S. Marina Dr., Coeur D’Alene, ID 83814
(888) 571-2900 or (208) 665-1300 [email protected] waterfront $48.73, std site $39.50
Please make checks payable to: Skagit-Snohomish HCCA
If you need any special arrangements, please contact tour organizers
Elaine Ellis or Dave Ellis
(360) 403-3298 email: [email protected]
Chris Brewer or Keene Brewer (509) 969-9494 email: [email protected]
The tour is planned to include a hosted breakfast each morning (included in Hotel rate), a few
surprises, and:
Sunday: Sign-in, picnic in the park on Lake Coeur d’Alene, enjoy the world’s longest floating
boardwalk and spectacular scenic views.
Monday: 90 mile tour to the beautiful St Maries area, visiting a variety of interesting places along
the way.
Tuesday: 80 mile tour to Kellogg and past gold and silver mines to the historic city of Wallace,
the “silver capitol of the world”. Travel through the Silver Valley in the Coeur d”Alene gold and
silver mining district.
Wednesday: 70 mile tour to the Hayden Lakes area, with shoreline known as the “Gold Coast”,
renowned for its beautiful lakes and superb recreational areas.
Details subject to change to maximize fun, tire kicking, and conversation!
Send Registration Form to: Elaine Ellis, 21611 88th Dr NE, Arlington, WA 98223
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MEMBERSHIP APPLICATION
YEAR 2016
SKAGIT/SNOHOMISH REGIONAL GROUP
HORSELESS CARRIAGE CLUB OF AMERICA
Regional Group Membership – Any person/family who is a current member of the
national HCCA with ownership and/or interest in pre-1916 automobiles shall be eligible to apply for
membership. Members are entitled to all Regional Group privileges, including receiving notices of club
functions and newsletters, a roster of members, the right to hold office, and the right to vote (ownership of
a pre-1916 automobile is a requirement for voting rights). Members agree to abide by all rules and
regulations as designated by the bylaws of this Regional Group and the National HCCA. Dues in the
SKAGIT/SNOHOMISH REGIONAL GROUP are $15.00 per calendar year and membership in the
NATIONAL HCCA is a prerequisite. National dues are currently $45.00 per year.
NAME: __________________________________________________________________________
Last
Husband
Wife
PHONE: (______)__________________________NATIONAL HCCA#________________________
ARE NATIONAL DUES CURRENT? Yes _______ No _______ *National dues must be current to process
CELL PHONES: Husband: (_____)____________________ Wife: (_____)____________________
ADDRESS: Street:_________________________________________________________________
________________________________________________________________________________
City
State
Zip
EMAIL ADDRESS:____________________________@____________________________________
_____Yes, correspondence by email is fine.
YEAR
MAKE OF AUTO
_____No, I need correspondence by mail
MODEL
BODY TYPE
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
In compliance with the laws of the state of Washington, I certify that I have Automobile Liability Insurance
(P.D. & P.L.) on my antique cars used for club functions. I also agree to make sure that the policy is in
force for the entire year no matter when the expiration date is.
NAME OF COMPANY____________________________NAME OF AGENT____________________
POLICY #_________________________________ EXPIRATION DATE_______________________
SIGNATURE____________________________CHARTER/LIFETIME MEMBER: Yes____ No_____
Mail completed form to:
Vicki Markley, 21832 S.E. 245th St, Maple Valley, WA 98038
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