RED RIVER TRIUMPH CLUB

Membership Application & Renewal
www.redrivertriumphclub.org

Membership dues: $30 per year (pro-rated thru March 31@$2.50/month) Please complete this personal information form for each new member application or renewal.

Date  _______________                      (    ) New Member       (    ) Renewal

Name _______________________________________  Spouse/Other ________________________

Address_________________________________________________________Apt #_____________

City ____________________________________  State_________________   Zip _______________

Phone Contact:
	Land Line (Home)______________________       Work_______________________  
	Cell (His)______________________________     Cell (Hers)___________________

E-Mail Address __________________________________________________

Triumph(s) Owned:  (Triumph ownership is not a requirement for membership)

Year________Model_________________Color_______________ Commission #_________________

Year________Model_________________Color_______________ Commission #_________________

Year________Model_________________Color_______________ Commission #_________________

Year________Model_________________Color_______________ Commission #_________________

INTERESTS:  Rallye______  Autocross  _______  Concours______  Social Events______

	    Technical Sessions______  Swap Meets______  Touring______  Other_______________

Mail application and appropriate dues to:		Lois Murphy
  							RRTC Membership Chairperson
							2220 Arbor Crest Drive
							Carrollton  TX  75007

Additional contact information:			Murphyy2@aol.com
							972-307-0210

I would like to receive my:
	Monthly Newsletter by e-mail____ or by a mailed Paper copy____	   
	Annual Membership Roster via Club’s Yahoo Web Site____ or by a mailed Paper Copy ____