Club Membership Application New _____ Renewal _____

Club Membership Application New _____ Renewal _____

<p> Club Membership Application New _____ Renewal ______Last Name: First Name: ______Spouse: ______Address: ______City: State: Zip: ______Phone: Cell Phone: ______e-mail:</p><p>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</p><p>For Additional Information please contact: Ron Layton Membership Chair (425) 745-0822 [email protected] Jim McDermott Web Master/Treasurer 935-3248 [email protected]</p><p>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.</p><p>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.</p><p>CASCADE AUSTIN HEALEY CLUB of WASHINGTON Visit our web site at http://cascadeahc.homestead.com</p>

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