Minnesota Chapter 13
Tomahawk Membership Application

Name:________________________________________________
Spouse/Children's Names: _______________________________
Address: _______________________________________________
City: _____________________ State: ______ Zip: _________
Telephone:______________________________________________

Pontiacs/Oaklands Owned:
Year:_______ Model: ____________ Body Style: ____________
Year:_______ Model: ____________ Body Style: ____________
Year:_______ Model: ____________ Body Style: ____________
Style: ____________

Mail with Check for $20.00 annual dues to:

Jim Felker, Treasurer
5500 Merritt Circle
Edina, MN 55436