Massanutten Antique Tractor And Gasoline Engine Club, Inc.
                                            Membership Application

**  Annual Membership Fee is $10.00 to be paid on or before March 31st of each
      year.
**  To join the club, print out the membership application, fill it out, make out a
      check in the appropriate amount payable to The Massanutten Antique Tractor
      Club, Inc. and either mail it to The Massanutten Antique Tractor Club, P.O. Box
      476, Edinburg, Virginia 22824 or you can bring it to any monthly club meeting. 
      Club meetings are held on the last Wednesday of each month at the Edinburg
      Volunteer Fire Department's meeting room in the fire hall on Stoney Creek
      Blvd. in Edinburg, Virginia (directly across from C.E.Thompson's).  The meetings
      start at 19:30 hrs. (7:30PM).


  Name: ______________________________________________________________________________________________________________

 

 StreetAddress: ___________________________________________________________________________________________________


 Town: _____________________________________ State:__________________________ Zip Code: ____________________________

 

 Home Phone Number: _____________________________ Cell Phone Number:_________________________________________


 Email Address: ____________________________________________________________________________________________________


 Age: _____________________ Birth Date:______________________________________________________________________________
                         (Only needed if 16 or under for club liability insurance coverage).


 Tractor(s), Equipment or Antique Gasoline Engines Owned: (Year, Make, Model)_____________________________


______________________________________________________________________________________________________________________


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  Any other interests that you have that you would like to share with the club?


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 **  A copy of the club bylaws are posted on this website for your information.

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