SDJC Membership Application Form

To join, please print and complete this form and mail it, with your check in the amount of $65.00 payable to SDJC, to:

Nedra Rummell
8009 Avenida Secreto
Carlsbad, CA 92009

You may also go to the JCNA Web Site and fill out the on-line form.
Then simply mail the check to Nedra at the address above or pay via Paypal.

	LAST NAME _____________________
	FIRST NAME_____________________
	SPOUSE_________________________
	ADDRESS________________________
	CITY___________________________
	STATE__________________________	ZIP______________
	HOME PHONE____________________	WORK PHONE_____________________
	FAX____________________________	EMAIL____________________________
	JAGUAR(S) YEAR MODEL & BODY STYLE
	CAR #1______________________________________________________
	CAR #2______________________________________________________
	CAR #3______________________________________________________
	CAR #4______________________________________________________

Any questions? Contact Nedra Rummell [CLICK HERE]