Please complete and return to the Treasurer when you pay your dues which are $30.00 for the year. 

You will receive the clubs monthly newsletter (The Quail Call). Membership in one of the National Clubs is Mandatory.

Name ________________________________________Birthday month/day___________

Spouse _______________________________________Birthday month/day___________

Wedding Anniversary month/day/ year ___________________________________

Address____________________________________________________________

City_____________________________________ Zip Code__________________

Telephone number ______-______-_______ Cell phone ______-_____-________

E-mail address_______________________________________________________

Model A Body Style Year License number

_________________________    ____________    ____________

_________________________    ____________    ____________

Insurance company___________________________________________________

Membership in one of the national clubs is mandatory: MAFCA (Model A Ford Club of American) based in La Habra, Ca dues are $40.00 and you will receive “The Restorer” magazine. MAFCA. 250 S. Cypress St., La Habra, Ca. 90631-5586 or contact them through their website MAFCA

1-888-266-3352. or MARC (Model A Restorers Club) based in Dearborn, Michigan dues are $38.00 and you will receive “The Model A News” magazine. MARC, 24800 Michigan Ave. Dearborn, Michigan 48124-1713, 1-313-278-1455 or contact them through their website MARC

Both magazines are published bi-monthly.