Please print this page to use the membership form.

You must join the National Club, the Metropolitan Owners Club of North America, before you join the Illini Mets. You may use this form to join both. Please print or type when completing this form.

Metropolitan Owners Club of North America (MOCNA)                Dues: $30.00 per year

Name           

                    Include spouse for joint membership

Address            

City                                                                        State                              Zip       

Phone

Fax

E-Mail Address

Print my phone number and email address in the Membership Roster:           Yes          No

INFORMATION ON METROPOLITAN(S)

Year

Model

Engine #

Chassis #

Body #

Color(s)

Condition

Have you previously been a member of MOCNA?     Yes     No          Membership number:

Referred to MOCNA by:

Membership #:

Illini Mets, MOCNA

                                            Dues: $10.00 per year

Name           

                        Include spouse for joint membership

Address:            

City                                                                        State                              Zip       

Phone

Fax

E-Mail Address

INFORMATION ON METROPOLITAN(S)

Year

Model

Engine #

Chassis #

Body #

Color(s)

Condition

Are you currently a member of MOCNA?      Yes     No

MOCNA Membership #:

Signature

Date

Please make one check for both memberships, payable to:

Illini Mets, MOCNA

Mail to:

Joanne Wawrzyniak
Secretary, Illini Mets
426 S. Edson Ave.
Lombard, IL 60148