Mulvane Marauders Car Club Membership Application Form

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Mulvane Marauders Car Club Membership Application

We are always looking for new friends! Membership has its privileges!

If you think you'd like to become a member, please fill in and submit
the application below. For questions regarding membership, please contact
Steve Nichols by email or call 316-777-0480.

Annual dues are $25, prorated bi-annually based on the fee schedule below.
Full dues are payable by June 1^st.
Dues should be mailed to:

Steve Nichols
602 Trail Drive
Mulvane, KS 67110

Members, click here to see if your dues are current.

Fee Schedule

If you join:	Your first due is:
June through November	$25
December through May	$15

About You

Last Name:
First Name:
Significant Other:
Mailing Address:
Address Cont'd:
City:, Zip Code
E-Mail Address:
Phone:
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