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Membership Application
 
Personal Data: Fields with red labels are required
First, Last Name Street Address
City, State Zip Phone
E-Mail Birthdate
Occupation Hobbies
Your Picture: (max. 500kB)
Type of Membership: Bumper Sticker: (free Gift)
Active (140.- CHF per Year)
Passive (70.- CHF per Year)
Relative of an 'Active' Member (70.- CHF per Year)
Supporting (from 50.- CHF per Year)
Transparent
White
Your Car:(for 'active' membership only)
Make and Model Year
Tachometer Engine
Car Picture 1: (max. 500kB)
Car Picture 2: (max. 500kB)
Car Picture 3: (max. 500kB)
Comment: (i.e. Expectations, Suggestions, Desires etc.)
Verification:
By clicking the [Apply] button below I acknowledge to have read and understood
the Charter of the U.S. Car Club of Switzerland.
We reserve the right to change the membership type from PASSIVE to ACTIVE
with the registration of a car according to the Charter Art. 14.
   
 

You may send us this form and/or photos by E-Mail: or regular mail to:


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