| Application for Membership |
| Hoosier Chapter of the Falcon Club of America |
| We thank you for your interest in the Hoosier Chapter Falcon Club of America. The chapter was formed in February of '86 to serve the members of the F.C.A. in the state of Indiana. Our purpose is to promote the restoration, ownership, and enjoyment of the Ford Falcon. Membership in the "Hoosier Chapter" is open to members of the F.C.A. in good standing, who abide and uphold their laws. Members must be at least 16 years of age. |
| Name: ............................................................. address : ........................................................... City: ................................................................. State: ...........................Zip:............................... Phone: .............................................................. Email:................................................................ Date of Application: ........................................... Type of Falcon owned Year: ................................................................ Model: .............................................................. Hardtop or Convertible: ...................................... Engine: ............................................................. Trans: .............................................................. Color: .............................................................. Owned since: .................................................. |
| Personal Information |
| Membership in the National Club is required. If you are not a member of the F.C.A., please send an additional $ 30.00 check payable to: Falcon Club of America. The check and a copy of this application will be fowarded to the F.C.A. If you are already a member of the"National Club" please give your membership number #:............. Mail Application Dues to: Hoosier Chapter Falcon Club of America, 4900 North, rd. 400 west .Bargersville, IN 46106 |
| Meetings |
| The Hoosier Chapter meets the 1st Sunday of every month at Edward's Drive-in, located at 2126 S. Sherman Drive in, Indianapolis, Indiana, at 3:00 pm. Dues for the Hoosier Chapter are $15.00 per year. You will be notified in advance for your renewal, please pay promptly, thank-you. President Larry Bensheimer r6tranchero@sbcglobal.net 317-418-8301 Vice President Gary Eddy Internet Coord. Rick DeVito rdevito@fordmuscleranchero.com |
| Dues |
 |
| Hoosierfalconclub.com |