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 Susquehanna Valley Jaguar Club 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	$50.00

Form Verification :	Please enter the following 5 digit number : 25451
Payment : By Check : Please print this form before clicking on the submit button and mail a copy with your check (payable to Susquehanna Valley Jaguar Club ) 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. Dave Hershey 3009 Quail Lane York, PA 17408 Should you have any question regarding the status of your membership, please contact the Susquehanna Valley Jaguar Club , .