Lone Star Cougar Club

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Membership Application

Please complete the form below and press "Send" when you're done. We will keep your application on file for 30 days, pending the receipt of your check for the membership dues. Membership includes your immediate family! New member dues are pro-rated, based on the month you join:

$26.00 - January through March
$19.50 - April through June
$13.00 - July through September
$26.00 - October through December (pays for following year)

Mail your check to:
Lone Star Cougar Club
5704 Valley Ridge Court
Arlington, TX 76017

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Name :	*
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Address :	*
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Primary Phone Number :	*
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Secondary Phone Number :
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Email Address :	*
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Would you like to be added to the club roster? :	Yes No
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Would you like to be added to the club mailing list? :	Yes No
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Are you a member of the Cougar Club of America? :	Yes No
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CCOA Number :
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Please tell us about your vehicles. :
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What are your interests? :

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