Membership Application

Print this form, fill it out, and send with check or money order to:

The Studebaker Drivers Club, Inc., PO Box 1743, Maple Grove, MN  55311-6743

Name: _____________________________________

Address: ______________________________________________________

City: ___________________________ State: ______ Zip: ______________

Phone: ____ - ______________ E-mail: _____________________________

Check this box if you do NOT want your address listed in the club Roster.  NOTE:  Your name will still be listed.

Check this box if you do NOT want your phone number listed in the club Roster.

Indicate the type of membership below as well as any donations you wish to make.  All amounts are in U.S. funds.

US and Canada Membership type:

Amount:

Total:

Adult Membership with Periodical Class Mail

$27.50

_______

Adult Membership with First Class Mail

$60.50

_______

Young Adult Membership (18 - 22 years of age)

$22.00

_______

Student Membership (12 - 17 years of age)

$20.00

_______

Foreign Membership type:

Foreign Membership with Surface Mail

$44.00

_______

Foreign Membership with Air Mail

$121.00

_______

Additional SDC items (optional):

Donation to the SDC Museum Fund

$2 min.

_______

Donation  to the SDC Restoration Fund

$2 min.

_______

2003 Year Member Roster - BOOK

$16.00

_______

2003 Year Member Roster - CD-ROM

$16.00

_______

Add: Roster Shipping (outside of U.S.A. only)

$5.00

_______

2003 SDC Calendar 

$16.50

_______

:

TOTAL

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