Model "A" Owners
of Canada Inc.

This is the Basic Registration form that you can print out and
send to the following
address: (go to the bottom of this page to pull up the detailed "WORD" version).
MAOCI Box 31, Stn. A, Scarborough Ontario Canada, M1K 5B9
Name:____________________________________ ,
Spouse:____________________________________
Address:____________________________________,
___________________________________________,
City:_______________________________________,
Postal Code/Zip:_____________________________,
Country:___________________________________
Phone # Res:(
)___________________________
Phone # Fax:(
)___________________________
E-Mail address:______________________________
URL:___________________________________
Car(s): Style, | Model, | Year, | Engine #
| Frame # | Colour - Body,| - Stripe, | - Wheels. | Condition:
|
|
|
|
|
|
|
|
___________|________|______|_________|________|_____________|_______|_________|________
|
___________|________|______|_________|________|_____________|_______|_________|________
|
___________|________|______|_________|________|_____________|_______|_________|________
|
___________|________|______|_________|________|_____________|_______|_________|________
Are these cars A: Restored, B: Original, C: Under Restoration,
D: Restorable, E:
Parts Car ?
Enter the appropriate letter in the "condition" column please.
Annual membership dues, of $39.00, are (annually via cheque), payable to the
"Model A Owners of Canada Inc." by the 1st of December, of each year.
If you wish to download the proper WORD copy, with more
detailed data,
click on this link open it.
"
M - Form Registration
" Fill in the blanks, then mail it in.
Thank you for taking time to complete this form, enjoy the rest of the website.