NAME:

SPOUSE'S NAME:

CHANGES IN MAILING ADDRESS:

CITY - STATE /PROVINCE - ZIP:

COUNTRY:   PHONE: VTCI #

E-MAIL ADDRESS:

LIST NAME/ADDRESS  IN ROSTER?  YES NO

PLEASE LIST ANY CHANGES IN THUNDERBIRDS YOU OWN:

YEAR: MODEL:

Local club if any:

Do you belong to any other National Thunderbird Club? Yes     no

USA, CANADA                    OVERSEAS (AIR MAIL)

Canadian and overseas payment must be in U.S. funds drawn on a U.S. bank
 

Payment enclosed. Please make check payable to: Vintage Thunderbird Club International

please fill out, print and mail check made out to VTCI:
Vintage Thunderbird Club International, Inc. C/O Jack Wake
P.O. Box 75308 Wichita, KS 67275

*Annual dues include a subscription to "Thunderbird Scoop" magazine, valued at $20.00/year
(subscription not available without membership)