MEMBERSHIP APPLICATION

FORD/FORDSON COLLECTORS ASSOCIATION INC.

A NOT-FOR-PROFIT ORGANIZATION DEDICATED TO "SAVING THE PAST FOR THE FUTURE"

P.O. BOX 470 - MAHOMET, IL 61853

NAME:                                                                                                                                                                             

ADDRESS:                                                                                                                                                                        

CITY:                                                                STATE:                                                 ZIP:                 +                       

TELEPHONE:                                        E-MAIL:                                                                                                          
(Providing the Zip + four code speeds mail deliveries. If you don’t know it, ask Post Office)

    PLEASE MARK HERE >>>>     ____ NEW     ____ RENEW    ____ 1 YEAR    ____ 2 YEAR

DUES: $25/YR. OR 2 YRS. $45, (FOREIGN $30/YR All foreign dues must be submitted in U.S. Funds payable from a Bank within the U.S.A. )

 MAKE CHECK TO: F/FCA

YOU WILL RECEIVE A MEMBERSHIP CARD AND A COPY OF OUR NEWS MAGAZINE 4 TIMES PER YR.

CHECK OUT OUR WEBSITE: WWW.FORD-FORDSON.ORG     

  STEVE PARKER, SEC/TRE - 217.369.4778 OR SJP@VOLOMAIL.NET

SEND THIS APPLICATION AND YOUR CHECK TO:  F/FCA, PO BOX 470 MAHOMET, IL 61853