JOIN CLUB

Membership Application to join Southern Exotic Car Club
Please Print Clearly

LAST NAME ___________
FIRST NAME __________
INITIAL(s)_________
SPOUSE Name_________
ADDRESS ____________________________
CITY__________ ZIP CODE__________
TELEPHONE NUMBER (Home) _________________________ (Work) ___________________________
E-MAIL ADDRESS (if applicable)__________________________________________
WWW HOME PAGE (if applicable)___________________________________________
AUTOMOBILES OWNED
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
Send completed membership application form  with
payment of $100 payable to the SECC
Attn: SECC Membership Fee
2001 Springhill Ave.
Mobile, AL 36607