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CVMC Membership Form
Welcome to the Central Virginia Mustang Club's online membership (new and renewal) application with PayPal!

Instructions:
1. Enter your membership information
2. Click Submit
3. Click on the payments link on the confirmation page
4. Pay for your membership ($25 annually) with your major credit card or PayPal account.

Note: Online membership applications without payment will be considered incomplete!

Email address *
First name *
Your answer
Middle Initial *
Your answer
Last Name *
Your answer
Street Address *
Ex: 123 Main St.
Your answer
City *
Your answer
State *
Zip Code *
Your answer
Phone Number *
Please include area code, ex: 804-123-4567
Your answer
Which phone number is best to contact you? *
Birthday (MM/DD) *
Your answer
Can we send you the monthly newsletter via email? *
Mustang/Ford Vehicle 1 - Model *
Ex: Mustang
Your answer
Mustang/Ford Vehicle 1 - Style *
Ex: GT Convertible
Your answer
Mustang/Ford Vehicle 1 - Color *
Ex: Acapulco Blue
Your answer
Mustang/Ford Vehicle 1 - Year *
Ex: 1969
Your answer
Mustang/Ford Vehicle 1 - Use *
Mustang/For Vehicle 2 - Model
Ex: Mustang
Your answer
Mustang/Ford Vehicle 2 - Style
Your answer
Mustang/Ford Vehicle 2 - Color
Your answer
Mustang/Ford Vehicle 2 - Year
Your answer
Mustang/Ford Vehicle 2 - Use
Mustang/Ford Vehicle 3 - Model
Your answer
Mustang/Ford Vehicle 3 - Style
Your answer
Mustang/Ford Vehicle 3 - Color
Your answer
Mustang/Ford Vehicle 3 - Year
Your answer
Mustang/Ford Vehicle 3 - Use
Additional Vehicles
Please provide Model, Style, Color, Year, and Use For Each
Your answer
Membership Type *
Are you a new member or renewing your current membership?
If renewal, please provide your CVMC membership number
Your answer
Are you a Mustang Club of America (MCA) member? *
If yes, please provide your MCA number
Your answer
Do you have a picture of you and your Mustang? *
If yes, please email your picture to president@centralvamustang.com. If no, we'll try to catch you at a club event and take one!
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