MEMBER INFORMATION

Member's name _______________________________________________________________________________

Member's family name(s) ________________________________________________________________________

Current Volkswagen(s) _________________________________________________________________________

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First Volkswagen & when owned __________________________________________________________________

VW activities you enjoy:
     Do you?                  Drive daily _____   Drive occassionally _____  Drive to VW events _____  Cruise _____

                                    Show your car _____    Does your car have Customize body _____  Customize Engine _____?

                                    Service only _____ Fully Maintain _____  Repair own VW _____  Assist others _____

Any special VW story, antidote, situation or interesting tidbit you want to share with other VW enthusiasts.

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Print this form, fill it out and bring it to a meeting with a picture or two of your Volkswagen(s).  You can also copy this
on-line form to your Email program, fill it out and Email it to the webmaster along with a picture(s) of your Volkswagen(s).

PLEASE NOTE - Information submitted will be posted on the Club web site for all to view and read.