MS COAST WATCHERS APPLICATION

Affiliated with the Military Vehicle Preservation Association (MVPA)

 

 

NAME………………………………...............................        DATE……………………..

 

SPOUSE NAME………………………………................................

 

ADDRESS……………………………….......................

                  

………………………………..........................................                     

 

……………………………….....................

 

PHONE……………………………….....                      CELL…………………………….               

 

EMAIL………………………………...................................

 

 

MVPA MEMBER    YES/NO   (CIRCLE)   

MEMBERSHIP #……………………………...........................

 

DSMV MEMBER    YES/NO

 

MS Coast Watchers Recruiting member Name………………………………....................

 

 

VEHICLES OWNED……………………………….........................................................................................

 

CIRCLE YOUR INTERESTS

RESTORATION/MILITARY DISPLAYS/OFF-ROADING/PARADES//SHORT CONVOYS/CAMPING

 FAMILY MEMBERSHIP $20  DUE IN MAY ANNUALLY

Check payable to: MS Coast Watchers. Thank You

INCLUDES QUARTERLY NEWSLETTER “ The Lookout” Plus one club Patch

Club T-Shirts cost $15 up to XL, $16 for larger sizes, club patches cost $3 each, sew or iron on.

Mail to:

Karen M Green                              Date Rec:………. CASH/Check#

8386 County Farm Rd

Long Beach MS 39560

 

ANTIQUE MILITARY VEHICLES AND COLLECTABLES