Renewal Form

Send this form with a check or money order of
$25.00 US funds to:
First Generation Monte Carlo Club
PO Box 2846
Ormond Beach, FL 32175

Personal Information
Name:  
Address:  
City:  
State/Province:   Zip/Postal Code:  
Phone Number:  
E-mail Address:  
Any comments?:  
  
Club Roster
Would you like to be listed in the club roster?  
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Would you like your phone number listed in the club roster? 0
In consideration of my being granted membership in the First Generation Monte Carlo Club, I hereby release the Club, it officers, and event organizers from liability for injury to myself or my passengers and/or damage to my vehicles, and for injury and/or property damage to others resulting from my participation in or travel to or from Club activities. I further acknowledge that appropriate liability insurance is maintained on all my vehicles which will be used in participation in Club activities.