NEW Membership Application
NC51 - Jaguar Association of Greater Indiana


New Membership only - Do not use this form for renewals. To renew your membership, please contact your club.

Thank you for your interest in joining the Jaguar Association of Greater Indiana and JCNA. Please fill out this membership form and follow the simple instructions below (bold fields must be included).


Name ( first / last )
City - State - ZIP/ postal
Daytime phone:     Evenings :
Email address
Jaguars owned :
(please include year, model and color)
Birth day / month
(used by some clubs)
Message, notes, special instructions, etc ...
Annual dues $65 ($35 after May 31st). $53 for applicants age 25 or less.
  Dues are prorated across the year by the club and JCNA, so contact the Membership Director for current dues after 1Q. Write check to JAGIN. Includes subscription to Jaguar Journal (6 editions/yr), insurance coverage when participating in most club e
Form Verification :

Please enter the following 5 digit number : 14523

Payment :

By Check : Please print this form before clicking on the submit button and mail a copy with your check (payable to Jaguar Association of Greater Indiana ) to the club who will process your application and forward it to JCNA. Please allow 4 to 6 weeks to receive your first issue of the Jaguar Journal.

c/o Cliff Burk
3426 E Moffett Ln
Bloomington IN 47401

Should you have any question regarding the status of your membership, please contact the Jaguar Association of Greater Indiana , .