NEW Membership Application
NC45 - Jaguar Club of Pittsburgh


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 Club of Pittsburgh 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 Per calendar year: $50.--$5 discount for email newsletter
  Half-year membership, July - December, $27
Form Verification :

Please enter the following 5 digit number : 22854

Payment :

By Check : Please print this form before clicking on the submit button and mail a copy with your check (payable to Jaguar Club of Pittsburgh ) 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.

Jack Terrick
JCOP Treasurer
258 Echo Valley Rd.
Jeannette, PA 15644

Should you have any question regarding the status of your membership, please contact the Jaguar Club of Pittsburgh , .