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Frameformat ZeichenformatTextformatvorlageStandardCorior Text body Frame contentsWW-Default Paragraph Font Corior Char Frame Graphics OLERoot 13 Frame1 14 Graphic1 15 Frame2 16 DrawObject 17 DrawObject 18 DrawObject 19 20Standard Konvert 1 Konvert 2 Konvert 3  Illustration Table TextDrawingd/ 1 4 5*jK standard.dic soffice.dicXsun.dic@ IgnoreAllList Y .Y .Y .Y .6?FN2T www.scca.orgSKAPhdddhA PA#P<2<l.: SAPAAPdddApPNgT^Membership ApplicationS=A Swis721 BlkEx BTAd A A  PAPAPA PAHPA$8Swis721 BlkEx BTA8d A8d At0li: SZAP! *A(PNG Pic0124D8F1APA PA8A8d A8ArialTyDear prospective SCCA Member:SQAPhdddhAPdxdAArialAd TmTo apply for membership in the Sports Car Club of America, the worlds largest member participation automotive organization please complete the form below in full and return, with payment, to your region or the SCCA membership Department, PO Box 19400, Topeka, KS 66619-0400SQAPhdddhAPdxdAArialAd TzPLEASE PRINT OR TYPES[APhdddhAPdxdAArialAd A TeName_________________________________________________________________ Birthdate Date_____/_____/_____SQAPhdddhAPdxdAArialAd TeAddress_______________________________________________________________ Telephone (__ )_______________SQAPhdddhAPdxdAArialAd TWCity___________________________________________________________________ State_________ SQAPhdddhAPdxdAArialAd TrZip___________________SQAPhdddhAPdxdAArialAd TcEmail Address______________________________________________________________________________________SQAPhdddhAPdxdAArialAd To______Single ______Married Spouses Name ______________ Mbr # (if current Member).____________________SQAPhdddhAPdxdAArialAd TjIF APPLYING FOR FAMILY MEMBERSHIP (husband/wife & children), list names and ages of children under age 21:SAPhdddhA8jd A8!A8!ArialA8#jArialA8]iTe03 Name__________________________________________________________________ Birthdate _____/_____/_____S-APhdddhAPdxdA8ed A8eArialA8Te04 Name__________________________________________________________________ Birthdate _____/_____/_____S-APhdddhAPdxdA8ed A8eArialA8Te05 Name__________________________________________________________________ Birthdate _____/_____/_____S-APhdddhAPdxdA8ed A8eArialA8Te06 Name__________________________________________________________________ Birthdate _____/_____/_____S-APhdddhAPdxdA8ed A8eArialA8TdHave you been an SCCA member before? ___No ___Yes Year___________ Prev. Mbr #______________SQAPhdddhAPdxdAArialAd TMPrimary interests in SCCA: ____X____Please send me a Crew License (check box)S>APhdddhAPdxdA@. A8MA8Md A8MArialA8  TPlease indicate the area(s) of SCCA in which you plan to participate, or which interest you most, Your response will be used to allocate your national dues to the areas you indicate, Thank You.SQAPhdddhAPdxdAArialAd Tg _______Club Racing _______Pro Racing _______Pro Rally _______Road Rally _______SoloSQAPhdddhAPdxdAArialAd TdAnnual Dues are as follows:S[APhdddhAPdxdAArialAd A l: SAP5 APdddA%PNTyNATIONAL OFFICE USE ONLY _______________ C___ $________ C ___ $________ C ___ $________ C ___ $________ C ___ $________SAPhdddhA8A8ArialA8 A8d A8d A8*+A801ImpactA8:;A8@AImpactA8JKA8PQImpactA8Z[A8`aImpactA8jkA8pqImpactTP SOURCE SAPhdddhA8A8d A  PAPoAPy"A PAHPTMbr type National Dues Regional Dues Total 01 Regular member $55.00 $15.00 $70.00 03 Spouse Member $15.00 $ 5.00 $20.00 10 Family Membership $85.00 $15.00 $100.00 First Gear $45.00SZAPhdddhAPdxdA-@. 8. . . ^. o+:SA  PA Po+:SA  PA Po+:SA  PA Po+:SA  PA PA8d A8ArialA8-A8/2TM___ Enclosed is my check or money order for $___________US. Do not send cash.SQAPhdddhAPdxdAArialAd TM___ VISA ___MC No. ________________ Expiration Date_____________________SQAPhdddhAPdxdAArialAd TZI hereby apply for membership in the Sports Car Club of America, Inc. and its Mohawk Hudson (65) Region and agree to abide by the bylaws. Applicants Signature ____________________________ Date____________________ S-APhdddhAPdxdA8d A8ArialA8ObA8 ObT************************************* Dues include payment for subscription to Sports Car ($24 value) (Dues are not deductible as charitable contributions)S8APhdddhAPdxdA @A8ArialA8&A8&d Jhp deskjet 5550 serieshp deskjet 5550 serieslS3TNWhp deskjet 5550 series!@=߀f d@LdBeںںUSB/deskjet_5550/MY23I3K0WR2L7 UU88/=?3/=E.=PE.=?Q/B.Eh^+7U0! *?0  ! *B.Eh^+B.Uhx^+B .^Uhx^+B .UUhx^+BX.UUhx^+B.UUhx^+B.UUhx^+BW.UUhx^+ B.UUhx^+ B.hUhx^+ Bi.Eh^+ BO.^Uhx^+ B.^Uhx^+B .^Uhx^+Bi.UUhx^+B.^Uhx^+B.2Uhx^+BN .UUhx^+/B!.^Uhx^+/B#.Uhx^+cB'.UUhx^+B1).UUhx^+B*.Uhx^+dBb0.+Uhx^+  \UA%J$5  U(( ?y"oHU(( Eh  HU( Eh:UATU((? 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