CONNECTICUT MG CLUB, LTD. MEMBERSHIP APPLICATION & RENEWAL FORM ( )NEW APPLICATION     ( )RENEWAL     Membership #__________

HOME	INFO	JOIN	PHOTOS	LINKS	CLASSIFIED	CALENDAR

Please fill in all the spaces below: NAME: ________________________________________________ SPOUSE: ______________________________________________ STREET: ______________________________________________ TOWN: ________________________________________________ STATE: _________ ZIP __________________ Please supply Zip + 4 as there may be postage savings to the Club if we have it. TELEPHONE: ______________________________________________ E-MAIL ADDRESS:__________________________________________ Tell us about your Cars

MG #1	19	____	________________	_______	___________	_________
		Year	Serial No.	Model	Colour(s)	Name
MG #2	19	____	________________	_______	___________	_________
		Year	Serial No.	Model	Colour(s)	Name

Do you own other MGs, or other British Cars:

Do you have you any special interests, talents, experiences, skills, etc. that you can share with the club?________________________________________________________

How did you learn about the CT MG Club?___________________________________

You will receive a CT MG Club name tag at no cost. Please print your name as you would like it to appear on the tag:______________________________________

Additional name tags may be ordered for $6.50 each. Your name as you would like it to appear on the tag: ________________________________   ________________________________

Please send this form, along with a check for $25 annual membership dues, plus payment for any additional name tags, to:

The Connecticut MG Club c/o Bobbi Juhas 139 Crescent Circle Cheshire, CT 06410 ctmgmembership@snet.net   Phone:203-272-2606