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GSR Membership form
Print and mail form and payment to: Gainesville Street Rods PO Box 357271 Gainesville, FL 32635-7271 (all membership dues are used to finance our car shows, charity events and other events throughout the year) Thank You from GSR.
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* Indicates required question
Email
*
Your email
Phone number including area code
*
Your answer
Today's Date
*
MM
/
DD
/
YYYY
Members Name
*
Your answer
Complete Mailing Address
*
Your answer
All Member / Members Birth Month (First name, Month)
*
List the “Name & birth month”
Your answer
Membership Type (checkbox of how you are paying)
*
Please check applicable boxes
Couple $30.00
Single $20.00
How are you paying (please Check one of the following)
PayPal
Mailed Check to PO Box
other
Required
Misc Note
*
NA if nothing to Note
Your answer
Car Year / Make / Model, etc
*
Your answer
GSR Instructions on what do to with this Form (give to Rick Lyons via email, text, etc.
GSR Internal To-Do’s (below)
Add to GSR member list: ____
Add to GSR general list: ____
Send Membership card: ____
A copy of your responses will be emailed to the address you provided.
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