First Generation Monte Carlo Club Registration Form

Registration Form

Send this form with a check or money order of
$20 US funds to:
First Generation Monte Carlo Club
PO Box 6646
Aurora, IL 60598-6646

Personal Information

Name:
Address:
City:
State/Province:		Zip/Postal Code:
Phone Number:
E-mail Address:

And now, some information about your Monte Carlo

Year:		Model:
Engine:		Transmission:
Exterior Color:
Interior Color:
Vinyl Top (Y/N):		Vinyl Top Color:
Two Tone (Y/N):		Top Color:
Other Options:


Modifications:


Any other comments?:

Club Roster

Would you like to be listed in the club roster?
Would you like your address to be listed in the club roster?
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.