Maverick Comet Group membership application

Name  ____________________________________

Mailing Address _______________________________________________________

Year/Make/Model(2dr/4dr) ______________________________________________
Color: exterior/interior ______________________________________________
Engine/Transmission      ______________________________________________
Other information        ______________________________________________
                         ______________________________________________
                         ______________________________________________
                         ______________________________________________
                         ______________________________________________

(Repeat for multiple cars)

e-mail address _______________________________________________

Signature _________________________________________ Date _______________