Heart of Illinois GTOs

Membership Application
(Use your browser's print command to print this page.  You can then just mail it in to the club at the address above)

TELL US A LITTLE ABOUT YOURSELF:
NAME:______________________________________________________

ADDRESS:___________________________________________________

CITY:______________________________ STATE:____ ZIP:___________

FAMILY MEMBERS:___________________________________________

TELEPHONE NUMBER:___________________e-mail:________________

PROFESSION:__________________________ GTOAA MBR #________

TELL US ABOUT YOUR GTO(S):
YEAR:______________________ BODY STYLE:___________________

ENGINE:____________________ TRANSMISSION:_________________

COLOR:_____________________ OPTIONS:______________________

HOW LONG OWNED:____________ VIN:__________________________

OTHER INFO:________________________________________________

JUST A LITTLE MORE:
HOW DID YOU HEAR ABOUT HOI GTOs? _________________________________

WHAT CAN YOU ADD TO THE CLUB? (OPTIONAL) (MECHANICAL, BODY, PAINT EXPERIENCE, PARTS SALES/LOCATION INFO, ETC.) _______________________________________________________

MEMBERSHIP DUES ARE $20.00/YR.FOR YOUR ENTIRE FAMILY. MEMBERSHIP DUES ARE PRO-RATED PER THE QUARTER OF THE YEAR IN WHICH YOU JOIN.
PLEASE MAKE YOUR CHECK PAYABLE TO "THE HEART OF ILLINOIS GTOs" and mail it along with this application to Ray Fligge, 22816 N. Main St., Morton, IL 61550. SUBSEQUENT ANNUAL MEMBERSHIP DUES ARE DUE DURING JANUARY. CURRENT OWNERSHIP OF A GTO IS NOT REQUIRED FOR MEMBERSHIP. "JUNIORS" (LeMANS & TEMPESTS) ARE WELCOME.