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MEMBERSHIP APPLICATION
The Golden Gears Car Club of Frederick County Maryland, Inc. is dedicated to the preservation, use, and enjoyment of historic, classic, muscle, and special interest vehicles.
The club hosts benefit events for charitable organizations or individual recipents in need within the community.
The Golden Gears Car Club of Frederick County Maryland, Inc. is a non-profit organization under the laws of the State of Maryland as a tax-exempt nonstock corporation. Membership is open to all interested individuals.
Name: _____________________________________________________________________________________________________
Address: ___________________________________________________________________________________________________
City: __________________________________ State: ____________________________ Zip: ____________________
Telephone: (H)_______________________________________ (W): ________________________________________________
Cell: ___________________________________________________ Pager: ___________________________________________
E-mail: ___________________________________________________________________________________________________

 

Vehicles you own: ___________________________________________________________________________________________________

___________________________________________________________________________________________________________________

Membership dues coincides with the club's fiscal year, which runs April to March
Dues are $20.00/year single, $25.00/year family
Prorated fees are as follows:

April 1 through June 30 - $20(s) $25(f)
July 1 through September 30 - $15(s) $18(f)
October 1 through December 31 - $10(s) $12(f)
January 1 through March 31 - $5(s) $6(f)

Full dues will be paid the next April