(Payment may be made either by PayPal or mail. Complete payment information will be displayed after the completed form has been submitted.)
Please fill in all of the following information:
Address:
City:
State/Province:
Zip/Postal Code:
Country:
Year/Model:
Tranny:
E-Mail:
(Used for Club's contact with you and shared with vendors, see below.)
Are you willing to have your email address circulated to SC parts vendors so they may contact you directly concerning products and sales they may offer?
Home Phone:
Work Phone:
Former SCCoA member:
If "Yes" do you wish to keep your old number?
Old Number (if known):
sccoa.com forums id name (if known):
Membership dues are for one year from date of payment. Dues amount is $15 (US Dollars) per individual member per year.
Multiple year memberships are not being accepted at this time.
You will receive and acknowledgement of your dues payment via email in 2-3 weeks from receipt of your payment.
