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 Car Club of Victoria 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	$65.00, plus $10.00 for new members
	The annual membership fee includes membership in JCNA. If you are already a member of another JCNA affiliated club, your dues will be reduced to $45, plus $10.00 for new members.
Form Verification :	Please enter the following 5 digit number : 11427
Payment : By Check : Please print this form before clicking on the submit button and mail a copy with your check (payable to Jaguar Car Club of Victoria ) 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. 2017 Cadboro Bay Road, Box 112 Victoria, British Columbia, Canada V8R 5G4 Should you have any question regarding the status of your membership, please contact the Jaguar Car Club of Victoria , .