APPLICATION FOR MEMBERSHIP IN

THE RIVER CITY CHAPTER OF THE

FALCON CLUB OF AMERICA

 

 

The RIVER CITY CHAPTER is a local chapter of the FALCON CLUB OF AMERICA, Inc. (FCA).  The FCA is a non-profit organization dedicated to the preservation of the Falcon automobile built by Ford Motor Company from 1960-1970.  To be a member of the River City Chapter, you must be a member of the FCA and file this application with the River City Chapter.  Yearly dues to the FCA are $25.00, payable to Falcon Club of America, P.O. Box 113, Jacksonville, AR  72076.  Yearly dues to the River City Chapter are $15.00, payable to the River City Chapter, Falcon Club of America, 3285 Allan Ave., W. Sacramento, CA  95691.  If you would like engraved name tags, please add $6 for each one.

 

Date: ____________________

 

Name: _______________________________

 

Address: ____________________________ City:______________________ State/ZIP:_________

Telephone: (___) ___-____

 

FCA Membership No.: ______ River City Chapter No.: _________

 

Spouse or significant other: _______________________________

 

Falcon(s) owned:    Year          Body Style or other data

                       ____          ___________________________________

 

                       ____          ____________________________________

 

                       ____          ____________________________________

 

Check activities of interest: Meetings (__) Tours (__) Swap Meets (__) Socials (__) Other (__) Committees: (__) Yes  (__) No

Comments: _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________