Professional Car Society - Southern California Chapter

Membership Application


  1. Print out this form.

  2. Fill it out completely (items marked with » are optional)

  3. Mail this form, with your check or money order for the appropriate amount to:

Professional Car Society - Southern California Chapter
432 E. Fairmount Rd
Burbank, CA 91501-1706

Name: First

Last

Address

City

State

Zip

Phone

(      )

»Fax

(      )

»E-mail

»Professional cars owned:

Southern California Chapter dues enclosed ($20.00 per year):

$_________

* National membership dues enclosed ($30.00 per year):

$_________

Total enclosed:

$_________


* Membership in the International Professional Car Society is required to be eligible to join any local chapter.