MEMBERSHIP FORM
MOPAR POWER CLUB OF LONG ISLAND
(established 1989)
This is a family club, everyone is welcomed
Chrysler, Plymouth, Dodge
SPECIALIZING in cars up to 1980 model year
Membership includes mailings of events on Long Island, including car shows, MOPAR parts suppliers, and swap meets, free catalogs, club trophy on Trophy Day, Dunkin'' Donuts on cruise nights, pizza & soda on pizza nights, food and dessert at club picnic.
All membership materials are mailed within 24 hours of receipt of application.
Name______________________________________________
Address____________________________________________
City____________________ State_________ ZIP__________
Telephone__________________________________________
Car owned (make/model/year)____________________ Engine_______
Make $35.00 check payable to FRANK P. FAUCI
Mail check and application to:
MOPAR Power Club
218 N. Kentucky Avenue
Massapequa, NY 11758
Details of the MOPAR Power Club of Long Island