Please print this page and mail it in with your check or money order payable to:
SAAC-MCR   35334 Griswald   Clinton Township, MI 48035

Annual Dues $20.00

Name:_______________________________________________________________________________

Spouse:_____________________________________________________________________________

Children:____________________________________________________________________________

Address:_____________________________________________________________________________

City:_________________________________________________ State:_______ Zip:_______________

Home phone:________________________ Work phone:____________________

E-mail address:_______________________________________________________________________

Vehicles/Condition:

What are your interests(check one):

Other:_________________________________________________________
Willing to help with club activities(check one):

Other:_________________________________________________________