Membership Application for:
SOUTHWEST MICHIGAN MOTORING ASSOCIATION, INC.
DBA MAD DOGS & ENGLISHMEN
I request membership in the above organization and will abide by its by-laws, rules, and regulations.

Name:______________________________________________________                     Renewal:____

Address:____________________________________________________            New Member:____

Address 2:__________________________________________________

City, State & Zip:____________________________________________

Phone:__________________________Fax:________________________

E-mail Address:____________________________________________

I am especially interested in:

Tech Info:_________________________________________________

Mechanical Help:___________________________________________

Tours:_____________________________________________________

Rallies:____________________________________________________

Track:_____________________________________________________

Shows:_____________________________________________________

Social:_____________________________________________________

Picnics:_____________________________________________________

Other:_____________________________________________________

I proudly own these special interests and/or sports cars:_________________________________________

Date:____________

Please mail with $25.00 check (payable to S.M.M.A.) to:
Southwest Michigan Motoring Association
P.O, BOX 2866
Kalamazoo, Michigan 49003-2866