2024 Membership Form

HORSELESS CARRIAGE CLUB DUES

Membership dues for 2024  are due BY January 1 and are delinquent and subject to drop from the roster by February 1.  Don’t miss out on the coming year’s activities!!

ROSTER INFORMATION

   Please update ALL information below, whether or not there have been any changes, to ensure your roster information for 2024 is correct.  Thank you.

NAME: 
SPOUSE: 
ADDRESS: 
CITY, STATE, ZIP: 
PHONE:
HomeWorkCell                                      FAX
E-MAIL:
Birthdays – Anniversary

CAR(S) OWNED

YearMakeModel
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   

(list additional vehicles on reverse)

ACTIVE MEMBERS  $20 / YEAR ($30 for first year of membership)

ASSOCIATE MEMBERS (no voting rights) $10 / YEAR

Members who join after October 1 are considered current and do not owe additional dues.

Please make checks payable to:               Horseless Carriage Club of New Orleans

and send with this form to:                Charlie Kihnel, Treasurer (504) 835-0503

                                                            208 Athania Pkwy

                                                            Metairie   LA   70001-5204


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