Application for Membership

Name:__________________________________________________________________________________

Address:________________________________________________________________________________

Town:_______________________________________________________________________State:______

Zip Code:________________________ Home Phone:_______________________________________

Cell Phone:____________ ______ Other Phone Number:__________________________________

E-mail:__________________________________________________________________________________

(If you have an e-mail please write it, we also do e-mail mails as well)

Do you own an antique truck? Yes______ No_____

Do you belong to National SPAAMFAA? Yes______ No______

Pine Tree SPAAMFAA Dues $25.00

(make check payable to Pine Tree Chapter SPAAMFAA)

Mail Application for Membership to:

Pine Tree SPAAMFAA Secretary

Jared Blake

P.O. Box 54

South Freeport, Maine 04078