To join the Aloha Mustang and Shelby Club of Hawaii, send this form and payment to:
The Aloha Mustang & Shelby Club of Hawaii
P.O. Box 6216
Honolulu, HI  96818

Dues: $35.00/Year for primary member, $10/Year for each additional family member 12 and over.
Renewals (Due June 1st): $30/Year for primary member, $10/Year for each additional family member 12 and over.

PLEASE PRINT and fill in all applicable information

· PERSONAL INFORMATION ·

Name: __________________________________________________ Date: __________________
Address: _______________________________________________________________________
City: __________________________________ State: __________ ZIP: ____________________
Home Phone: _______________________ Work Phone: ________________________________
Occupation: _________________________________ Sponsor: __________________________


· MUSTANG INFORMATION ·

#1: Year: ______ Hardtop_____ Convertible______ Fastback_____ Hatchback____ GT_____
 SVO_____ Hi-Po_____ Shelby GT350_____ Shelby GT500_____ BOSS 302/351/429_____
 California Special___ Cobra II____ L/LX/DLX____ Modified___ Racecar____ Showcar___
 Exterior Color:______ Interior Color_______ Engine Size____ Trans: Auto___ 3-spd___ 4-spd___ 5-spd____

#2: Year: ______ Hardtop_____ Convertible______ Fastback_____ Hatchback____ GT_____
 SVO_____ Hi-Po_____ Shelby GT350_____ Shelby GT500_____ BOSS 302/351/429_____
 California Special___ Cobra II____ L/LX/DLX____ Modified___ Racecar____ Showcar___
 Exterior Color:______ Interior Color_______ Engine Size____ Trans: Auto___ 3-spd___ 4-spd___ 5-spd____

#3: Year: ______ Hardtop_____ Convertible______ Fastback_____ Hatchback____ GT_____
 SVO_____ Hi-Po_____ Shelby GT350_____ Shelby GT500_____ BOSS 302/351/429_____
 California Special___ Cobra II____ L/LX/DLX____ Modified___ Racecar____ Showcar___
 Exterior Color:______ Interior Color_______ Engine Size____ Trans: Auto___ 3-spd___ 4-spd___ 5-spd____

#4: Year: ______ Hardtop_____ Convertible______ Fastback_____ Hatchback____ GT_____
 SVO_____ Hi-Po_____ Shelby GT350_____ Shelby GT500_____ BOSS 302/351/429_____
 California Special___ Cobra II____ L/LX/DLX____ Modified___ Racecar____ Showcar___
 Exterior Color:______ Interior Color_______ Engine Size____ Trans: Auto___ 3-spd___ 4-spd___ 5-spd____