Thanks for your interest in The Tarheel Miata Club!!!
Please Complete this quick and easy form and mail to:

Richard Linko
Treasurer - Tarheel Miata Club
8517 Valleybrook Dr.
Raleigh NC 27613

Dues schedule:
1/1 - 6/30  $25
7/1 - 9/30  $18
10/1 -      $10
Please make your check payable to: Tarheel Miata Club


Name             ____________________________________

Significant Other____________________________________

Address          ____________________________________
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How did you find out about the club? ________________
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Tell us about you and your baby!

Birthday: You __________  
Significant Other __________

Miata #1:  Year ______ Model _________ Color ________
           Year purchased ____________
Has your Miata told you its name? Name ______________
List any modifications (Cold Air Induction, High Flow
Grill, Stripes, etc.) _______________________________
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Miata #2:  Year ______ Model _________ Color ________
Has your Miata told you its name? Name ______________
           Year purchased ____________
List any modifications (Cold Air Induction, High Flow
Grill, Stripes, etc.) _______________________________
_____________________________________________________
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Are you a member of any other car clubs? (Other area 
Miata clubs, Miata Club of America, SCCA, etc.) 
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Are you aware of any "great drives" that would be of 
interest to the club? Please note that food must be 
nearby because "we live to drive and we drive to eat"!
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Do you prefer short trips, long trips, weekend trips, 
regional / national events or all the above?
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Would you be willing to organize or help organize an
event?  Yes _____  No _____

Please use the following space to tell us more about 
you!
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