TMGC ANNUAL RENEWAL

 

Please fill out the form below and return it to Bill Yoshida with a check made out to TMGC for $20.00 at the next meeting or mail to:

TMGC
c/o Bill Yoshida
4732 Little John Road
Virginia Beach, VA 23455   (757) 554-0402, Cell (757) 633-8303
williamryoshida@verizon.net

  

Names: _______________ & __________________________________________

Address: ___________________________________________________________

__________________________________________________________________

Phone # ____________  Cell # _____________   E-mail: _____________________

 

Do we have your permission to publish your home phone and e-mail address in a
member’s directory for club use only? _________

 

MG’s owned? _______________________________________________________

 

Are you affiliated with any National Auto Clubs? If yes, please list below:

____________________________________________________________________

____________________________________________________________________

 

"Save an Octagon"