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 Drivers and Restorers Club of NWA and JCNA. Please fill out this membership form and follow the simple instructions below (bold fields must be included).

For your convenience, you can now pay by Paypal to immediately activate your membership, eliminating delays in starting your Jaguar Journal subscription.

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	$68 full year
	Contact Membership Chair, Vickie Kollmar at the Box address above.
Form Verification :	Please enter the following 5 digit number : 17389
Payment : By Paypal / Credit Card: Click on the Pay Now button; you will be taken to the Paypal secure site where you can process your payment. Paypal is widely used, convenient and secure electronic payment system which allows you to charge your credit card or checking account. By using Paypal, your membership will be immediately active avoiding delay in receiving your first issue of the Jaguar Journal. By Check : Please print this form before clicking on the submit button and mail a copy with your check (payable to Jaguar Drivers and Restorers Club of NWA ) 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. 4701 SW Admiral Way #294 Seattle, WA 98116 Should you have any question regarding the status of your membership, please contact the Jaguar Drivers and Restorers Club of NWA , .