Jaguar Clubs of North America

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 )
Spouse
Address

City - State - ZIP/ postal
Country
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	$60 ($35 after May 31st). $53 for applicants age 25 or less.
	Includes subscription to Jaguar Journal, insurance coverage when participating in most club events and 9-10 club newsletters per year. Also enables you to obtain discounts on some parts & services from participating merchants.
Form Verification :	Please enter the following 5 digit number : 25587
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. JAGIN c/o Steve Baranyk 202 Senator Way East Carmel, In 46032 Should you have any question regarding the status of your membership, please contact the Jaguar Association of Greater Indiana , .