Jaguar Owners Club
INCORPORATED
LOS ANGELES, CA
Membership Application
www.LAJagClub.com
 
Select One: New Member* Renewal* JOC#_______________ Associate Member**
*Regular member - Jaguar-engined Jaguar motorcar owner
**Associate member - not a Jaguar owner
Name #1  ______________________________________________  Bus. Phone _______________
Badge name ______________  Occupation ___________________  Birthday(mm/dd)______________
Name #2  ______________________________________________  Bus. Phone _______________
Badge name______________  Occupation ___________________  Birthday(mm/dd)______________
Address ______________________________________________ Home Phone _______________
City ____________________________ State ____ Zip _____ email ______________________

I/We hereby make application to become member(s) of the Jaguar Owners Club, Inc.

Signature 1. ____________________________________________________ Date _____________

Signature 2. ____________________________________________________ Date _____________

Jaguar Cars Owned

Year

Model

Body Style

Color

Series**

1.

 

 

 

 

 

2.

 

 

 

 

 

3.

 

 

 

 

 
Use separate sheet if more space is needed
** E-types and XJ6s

Membership Dues
Current through December 31

Select One:

$70* - One New Member or Associate

Make Checks Payable to:

Jaguar Owners Club, Inc.
$80* - Two New Members or Associates
$65 - One Renewal Member or Associate Mail Payment To:
                         Jim Neary
                         7129 N. Marina Pacifica
                         Long Beach, CA 90803

 
$70 - Two Renewal Members or Associates

*Includes new Jaguar Club name badge ($5/person).  After June 1 NEW members deduct $25 from above amounts.

How did you hear about our club?

Jaguar Dealer:

The Jaguar Club, Inc. is affiliated with Jaguar Clubs of North America (JCNA)