
Southeast Georgia Car & Truck Club
Please print and fill out the application below.
Mail your application and a check or money order for
$15.00 to:
SE Georgia Car & Truck Club
3015 Colerain Rd.
Kingsland, Ga. 31548
First Name:________________________ Spouse
Name:_________________________
Last Name:_______________________
Birthday:____/____ Spouse Birthday:____/____
Address:_______________________________________________________________
City:___________________________________________ State:_______ Zip:________
Phone Number:_________________ Email
Address:_____________________________
Year and Model of Car:___________________________________________________
If you have any questions, please email us at:
president@segacarandtruckclub.org
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Copyright © 2001- 2004 Southeast Georgia Car & Truck Club
Last modified: April 15, 2004