Foothills Antique Power Association

 “Preserving the Past for the Future”

Membership Application

Date

             Name: 

    Address: 

           City:     State:    Zip: 

            Phone:  Cell: 

            Birthday 

         E-mail Address: 

            I prefer to receive my newsletter by:

                                                                                           Regular Mail or by E-Mail

            I am a:

                       New Member           Renewal

                       Member Since

***Membership Dues:  $20.00 per year – January thru December 

  I am a collector of: 

 Engines, Tractors, Trucks, Cars, or (Other)

 I would be willing to help on a committee yes  no

          What type of committee 

__________________________________________________________

If you have Questions Call:

                  Reminders:  Annual Show- American Legion Fairgrounds, May 14-16, 2010
                                       Annual Swap Meet/Building Fund Drawing Sept 18th 2010
                                      Meetings- First Thursday of each month at Sig’s Tire Center
                                                       St. Peters Church Road, Conover, North Carolina

 Please print and bring or mail form

Mail Application to the following address:

Foothills Antique Power Association
5851 ST Peter’s Church Road
Conover NC 28613