Club Membership Application New _ Renewal _

Club Membership Application New _____ Renewal ______Last Name: First Name: ______Spouse: ______Address: ______City: State: Zip: ______Phone: Cell Phone: ______e-mail:

Austin Healey Information: Other Clubs that you belong to: Model: ______Year: ______Serial #: ______Oregon AHC ____ Exterior Color: ______Interior Color: ______BC Healey Owners ____ Date of Purchase: ______AHC of A ____ AHC USA ____ How did you hear of the Cascade Austin Healey Club? Other ______Dues Information: Annual dues are $36.00 for the period of one year beginning November 1st. Please return this form with payment to: Cascade Austin Healey Club P. O. Box 94143 Seattle, WA 98124

For Additional Information please contact: Ron Layton Membership Chair (425) 745-0822 [email protected] Jim McDermott Web Master/Treasurer 935-3248 [email protected]

For Activities Info contact: Lois Buhman at [email protected] The club magazine "CASCADE" is published 6 times a year. It contains articles, stories, events, tech tips and classified adds of interest to Healey enthusiasts.

Club Meetings are held at 7:30pm on the last Tuesday of the month at Angelo's Restaurant 601 S.W. 153rd. St., Burien, Washington, all are welcome.

CASCADE AUSTIN HEALEY CLUB of WASHINGTON Visit our web site at http://cascadeahc.homestead.com