Membership — Santa Clara Valley Chapter Model A Ford Club Of America

**2022 Club Picture of Members at the Annual Presidents Tour and Picnic October 2022**

Would you like to become a member of the Santa Clara Valley Model A Ford Club?

Please fill out the below information. Membership in the SCVC is $35.00 per year per family. Membership in MAFCA is a prerequisite to membership. Find out how to apply for MAFCA membership here. MAFCA membership dues are $50.00 per year.

Consideration for membership requires the new member(s) to attend two club functions prior to approval. Family membership includes you, your spouse/significant other and your children up to age 21.

Please come to one of our meetings and meet the SCVCMA family. Joining is easy and fun!

Name

First Name

Last Name

Spouse/Significant Other

First Name

Last Name

Email Address

Phone Number

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Do you own a Model A?

Yes

No

If yes, what year and model

Are you a MAFCA member

Yes

No

If yes, please provide your MAFCA Number

Message