NEW Membership Application
SW05 - Jaguar Associate Group

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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 Associate Group 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 $85 first year (prorated), $70 per year thereafter
  First year membership dues are $85.00 for members joining January thru June, $57.50 for members joining July thru December. Renewals are $70 per year.
Form Verification :

Please enter the following 5 digit number : 11592

Payment :

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

Send to:

Roland Quintero
membership chair
732 Montrose Ave.
Palo Alto, Ca 94303

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