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Application

The Cajun Mustangers Mustang Club Application

This form is for your convenience. Fill out all the required information and print this form. Mail the completed form along with your Check or Money Order for your membership dues and send it to the following address:

The Cajun Mustangers Club
907 W Sale, Lake Charles, LA 70605

Please provide the following contact information:

First Name
Last Name
Middle Initial
Dual Member  Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
Home Phone
E-mail
Date of Birth
Dual Member Birthday

Mustangs & Fords Owned?


If you own a convertible would you be interested in participating in parades?

Yes No

Choose one of the following membership options:


I found out about CMC from:


 




Last Update June 21,2003