2020 Membership App (docx)
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SMVR
2020 MEMBERSHIP APPLICATION
Name ___________________________________________________ Date ______
Spouse Name _______________________________________________________
Street _____________________________________________________________
City ______________________________State ____________ Zip _____________
Phone # ____________________________________________________________
Email ______________________________________________________________
Car Year___________ Make ___________________ Model __________________
Car # ____________ Car Color _________________ Engine __________________
My car is: Restored__________ Replica __________ Newly Built ______________
SMVR DUES ARE $30.00 PER YEAR
Paid member will be able to race at all S.M.V.R. sponsored events,
attend and vote at meetings and receive all club newsletters.
Dues must be paid before member can race!
No pay no play!
Make checks payable to:
SMVR
Mail to: Mickey Fleehart
314 E. ORCHARD ST., ODESSA, MO 64076
I, THE UNDERSIGNED, HEREBY RELEASE AND HOLD HARMLESS THE OFFICERS AND MEMBERSHIP OF S.M.V.R. OF ANY AND ALL RESPONSIBILITY FOR ANY DAMAGES OR INJURIES I MAY SUSTAIN AT ANY S.M.V.R. EVENT.
_____________________________________________
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