The following information is needed to prepare a new roster and update the mailing list.

Please fill out the questions concerning the Quail Tale, Tour and Program suggestions.

Names: ________________________________________________________________

                Last                                             First                                                Year Joined

            ________________________________________________________________

                Last                                             First                                                 Year Joined

Children under 18 and Ages ________________________________________________

Address ________________________________________________________________

City ______________________________State_____________ Zip _________________

Telephones: Home (____) __________________ Office (_____) ___________________

Cell (_____) __________________ Fax (_____) ____________________

Email: __________________________________________________________________

Model A’s ______________________________________________________________

                    Year                 Body Style

Quail Tale: Receive by: Computer: Yes______ No_______ Mail: Yes_____ No_____

Tour Suggestions:_______________________________________________________________

Volunteer Tour Leader: Yes_____ No______

Program Suggestions:____________________________________________________________

Volunteer Program Leader: Yes______ No______

2008 MEMBERSHIP DUES per family (ROSTER TO BE PICKED UP AT MEETING) $ 20.00

_______________ Roster mailed add $5.00 _____

_______________Additional rosters ($2.50 each) _____

_______________Mailing of additional rosters ($5.00 each) _____

TOTAL ----------

Please return this form with your payment. Make checks payable to: Dallas Model A Ford Club.

DUES MUST BE PAID BY DECEMBER 31, 2007 to guarantee inclusion in the roster and to continue receiving The Quail Tale. Dues can be paid at the meetings or by mail. All memberships expire December 31 each year.

Mail To: Dallas Model A Ford Club

Ed Pitts

3556 Colgate

Irving, Tx. 75062