Application for Individual Membership
An individual member enjoys all rights, privileges, and responsibilities of membership including the rights to vote, to hold elected office, and to hold appointed positions so long as he continues to meet all requirements of a member in good standing and his dues are paid and current. The Individual Member is the only member in a household who receives the monthly newsletter and day-to-day correspondence. Must be age 16 or older.
Individual Member Data
First Name (*)
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Last Name (*)
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Mailing Address (*)
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City (*)
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State (*)
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ZIP Code (*)
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Home Phone (*)
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Work Phone
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Cell Phone
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Fax Number
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Email Address (*)
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How did you learn about CRMC? (*)
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If other - please specify
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Share your birthday to be treated to free desert at the club meeting held during your birth month.
Birth Month (*)
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Birth Date (*)
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Please choose a username for access to member's only content on ponytales.org
Website Username
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Occupation
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Are you a member of Mustang Club of America (MCA) (*)
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MCA Membership # (if applicable)
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MCA Gold Card Judge # (if applicable)
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MCA Certified Judge # (if applicable)
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An individual member's spouse and other family members (children, grandchildren, parents and grandparents) living in the same household are welcome to participate in the CRMC as social members. Social Members have the same rights, privileges, and responsibilities as an Individual Member except that the rights to vote, to hold elected office, and to hold appointed positions are not granted. Social members age 13 and older are welcome to choose a Username to access member's only content on ponytales.org.
Social Member #1
First Name
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Last Name
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Relationship to Primary Member
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Birth Month
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Birth Date
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Email Address †
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Website Username †
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† Only if age 13 or older
Social Member #2
First Name
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Last Name
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Relationship to Primary Member
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Birth Month
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Birth Date
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Email Address †
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Website Username †
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† Only if age 13 or older
Social Member #3
First Name
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Last Name
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Relationship to Primary Member
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Birth Month
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Birth Date
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Email Address †
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Website Username †
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† Only if age 13 or older
Social Member #4
First Name
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Last Name
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Relationship to Primary Member
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Birth Month
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Birth Date
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Email Address †
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Website Username †
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† Only if age 13 or older
Social Member #5
First Name
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Last Name
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Relationship to Primary Member
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Birth Month
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Birth Date
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Email Address †
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Website Username †
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† Only if age 13 or older
Please tell us about your cars (year, model, body style, color, engine, modifications, etc.)
Car #1
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Car #2
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Car #3
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Car #4
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Car #5
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Car #6
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Car #7
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Car #8
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Car #9
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Car #10
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Car #11
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Car #12
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Please select your membership (*)
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Total 0.00 USD