IndyRam Club of America Join Form

Instructions
1:	Please complete all fields below.
2:	Use your browser to print this page, to send a hardcopy with your dues payment. If you can't print this page, please write your name and address and indicate you could not print the join form on a sheet of paper to include with your payment. We will send you a copy to sign.
3:	Click on the Submit button to send your information.
4:	Sign your printed copy, then mail it along with your payment of $40 to the address at the bottom of this page. Please make checks/money orders payable to Mark Hamrick.

Name:

Address:

Email Address:

Phone Number:

T-Shirt Size:

Last 6 digits of VIN#

I have read the IndyRam Club of America Bylaws, and accept them as the rules of this club. I understand that all members and participants are solely responsible for their own actions at all times during club meets and other gatherings, and will hold IndyRam Club of America, all officers, trustees, and volunteers harmless of all liabilities incurred.

Signed:___________________________________

Please mail completed forms to:
Mark Hamrick
9582 Bent Oak Ct.
Jacksonville, FL 32257