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Southeast Georgia Car & Truck Club

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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