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So, you're ready to become one of us. The process is really simple, and only takes a couple minutes to do. But first, we should take a minute and explain to you some of the benefits that come with being a member of Lake Effect.

 

An annual membership fee of only $15.00 in the Lake Effect Miata Club will get you:

  • A monthly newsletter with articles from contributing members
  • A list of after-market suppliers
  • A Lake Effect Logo door magnet
  • A membership card providing discounts at several NW Indiana businesses
  • A roster of current members' address, phone and e-mail information
  • A copy of the Lake Effect Miata Club's Constitution and By-Laws
  • A Lake Effect lapel pin to wear or trade
  • A list of past and future club events and rallies

 

Now that you know what comes with being a member, simply print, and fill out the form below and send it to the address listed.

Until the webmaster figures out how to better set up the forms for printing, you will have to 'copy' and 'print' them the hard way. Sorry for the inconvenience.

ANNUAL DUES ARE $15.00 PER CAR. FROM MARCH 1 TO MARCH 1 OF THE FOLLOWING YEAR. PLEASE MAKE CHECKS PAYABLE TO:

 

LAKE EFFECT MIATA CLUB

C/O Conrad M. Serwatka

177 East 750 North

Valparaiso, INDIANA 46383


 

 

TODAY'S DATE ____________________________________

 

MEMBER NAME: ____________________________________________________________________

 

CO-MEMBER NAME: _______________________________________________________________

 

ADDRESS: _________________________________________________________________________

 

CITY: _____________________________________________________________________________

 

STATE: _________________ ZIPCODE: _______________ HOME PHONE: _________________

 

WORK PHONE: _____________________ CELLULAR: ___________________________________

 

E-MAIL ADDRESS: _________________________________________________________________

 

BIRTHDAY (mo/day) YOURS: ________________________ SPOUSES: ___________________

 

WEDDING ANNIVERSARY: _________________________ CHILDREN: ____________________

 

NAMES & AGES: ___________________________________________________________________

 

YOUR OCCUPATION: ______________________________________________________________

 

SPOUSE OCCUPATION: ____________________________________________________________

 

MIATA INFORMATION

 

YEAR: _______ COLOR: ____________ LICENSE PLATE #: _________________________________

 

 

WHAT INTERESTS YOU ABOUT JOINING THIS CLUB? (CIRCLE ALL THAT APPLY)

 

SOCIALIZING       AUTOCROSS      TOURING      ACCESSORIES       DISCOUNTS        NATIONAL RALLIES

 

 

COMMENTS: ________________________________________________________________________

 

CLUB USE ONLY:

 

AMOUNT: __________________                 MEM.PACKET: ______________________

 

CHECK # ___________________                  DATE REC'D: ________________________

 

 

 


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