| Membership
Application Michigan Chapter of the North American MGA Register (NAMGAR) |
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Last Name:
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___________________________________
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First Name:
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___________________________________
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Initial:
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____
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Address:
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City:
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State:
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___________
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Zip:
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Country:
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Home Phone:
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(____)___________________
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Cell Phone:
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(____)___________________
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Email:
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________________________
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Spouse:
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___________________________________
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Children:
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___________________________________
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MGAs:
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Please
provide: the year and model: |
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________________ _______________
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Other MGs:
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Referred by:
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NAMGAR Member?
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Yes ___ No
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We have two annual dues options:
Return this application along with your check or money order, payable to NAMGAR Michigan Chapter, to our treasurer: Jeff Zorn We urge every member to join the national organization NAMGAR (voluntary), which produces an excellent full-color magazine called MGA! and entitles you to attend the annual national Get-Togethers held throughout the country. |
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