FIREBIRD CHAPTER POCI

Membership Application Form

Name: _______________________

Address: __________________________________

City/State/Zip: _____________________________

Phone: _______________________

Email: ___________________________________

POCI membership #: ___________________

(note: you must be a member of POCI to be a member of the chapter)

Other Chapters? ___________________________

Year of 1st Car: _________

Model: ____________________________________

Year of 2nd Car: _________

Model: ____________________________________

 

Members will receive a membership card, current newsletter, and have a personal spot on the chapter website. Dues are currently free for the first year and then just $10 to renew. If you have an email address, you will be added to the list in order to receive updates via the web. The chapter conducts an annual meeting at the Pontiac Oakland Club International Convention and also hosts an event during the week of the convention.

Firebird Chapter
C/O John Froehle
7513 S 2050 E
South Weber, UT 84405