NAME:

SPOUSE'S NAME:

CHANGES IN MAILING ADDRESS:

CITY - STATE /PROVINCE - ZIP:

COUNTRY:   PHONE: VTCI #

E-MAIL ADDRESS:

LIST NAME/ADDRESS  IN ROSTER?  YES NO

LIST E-MAIL ADDRESS IN ROSTER? YES NO

LIST TELEPHONE IN ROSTER? YES NO

PLEASE LIST ANY CHANGES IN THUNDERBIRDS YOU OWN:

YEAR: MODEL:

Local club if any:

Do you belong to any other National Thunderbird Club? Yes     no

USA, CANADA                    OVERSEAS (AIR MAIL)

Canadian and overseas payment must be in U.S. funds drawn on a U.S. bank,
or you can use your VISA/MasterCard (see below)

Payment enclosed. Please make check payable to: Vintage Thunderbird Club International

If submitting check, please fill out, print and Please mail to:
Vintage Thunderbird Club International C/O Marilyn Paliani
1304 Greenwood Schertz, TX 78154
*Annual dues include a subscription to "Thunderbird Scoop" magazine, valued at $20.00/year
(subscription not available without membership)