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 Empire Division 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	negociable! Contact the club
	The clubs main purpose is to encourage the use of Jaguar automobiles in competition, including the organizing of an annual track event at Lime Rock. Please contact the club officers for more informati
Form Verification :	Please enter the following 5 digit number : 23471
Payment : By Check : Please print this form before clicking on the submit button and mail a copy with your check (payable to Empire Division ) 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. Empire Division c/o Zach Schulman 100 Clearbrook Road. Elmsford, NY 10523 Should you have any question regarding the status of your membership, please contact the Empire Division , .