MMSRQ membership dues are one time only. There is no yearly charge. We look forward to meeting you.

Membership dues: Intial member: $20.00. Joint Member: $10.00

There are 2 ways to submit application information.

Option 1: Download the application and stop by a club activity. Download Application
Option 2: Compose an e-mail using the application below.

Personal information:

First Name:		Last Name:		DOB:
First Name:		Last Name:		DOB:

Mailing information:

Address Line 1:
Address Line 2:
City:		State:		Zip:

Contact information:

Home Phone:		Cell Phone:		Other Phone:
Email address:

Car information:

Year of car:

Model:

GT SVT Cobra SVO Cobra Roush Saleen Shelby GT Shelby GT500 Steeda 6 Cylinder 4 Cylinder

Coupe/Convertible: Coupe Coupe-Glass Top Convertible

Color:

Modifications:


Comments: