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Mid-Atlantic Chapter
The Professional Car Society


Membership Application Form
The Mid-Atlantic Chapter operates under a charter granted by the Professional Car Society, Inc., a worldwide group of admirers of the craftsmanship displayed in the design and manufacture of vintage funeral, rescue, and livery vehicles.  The Chapter serves PCS Members in Maryland, Delaware, the District of Columbia, northern Virginia, southeastern Pennsylvania, and southern New Jersey. 

Membership in PCS is a prerequisite to membership in any of its Chapters.  A link to the national club's membership form is shown below. Note that ownership of a professional car is not required for membership.  Applicants are encouraged to provide a photograph of their car(s) with their application.

Please print this application from the Internet (landscape works best) and then fill out and mail to the address below along with your check.

PLEASE PRINT
Date _____________

Name  ____________________________  Spouse  _______________

Address  _________________________________________________

City  ____________________ State/Province _______ Zip/postal Code _____ Country  ___

Phone  (____)______________   Email address  __________________
Use the reverse side for additional cars if any.

Please send this completed form, along with a check for $10 dues made payable to:
Mid-Atlantic Chapter PCS and mail to:
Mid-Atlantic Chapter PCS
c/o Mike Murphy
977 Patuxent Road
Woodwardville, MD  21113-2207
YEAR     COACHBUILDER      CHASSIS MAKE        CHASSIS MODEL NAME       SPECIAL FEATURES
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Click here for an application for membership to the national Professional Car Society.