PLEASE USE THE PRINT BUTTON ON YOUR COMPUTER SCREEN TO PRINT THIS APPLICATION OUT
The ARIZONA CHAPTER of the PONTIAC-OAKLAND CLUB, INTERNATIONAL cordially invites you to join the world’s largest organization dedicated to the enjoyment, restoration, and preservation of Pontiac & Oaklands—all years, all models, any condition. We are a family-oriented group offering many activities of interest to everyone. There are only TWO requirements to join our chapter: (1) You must be a Pontiac/Oakland enthusiast (ownership not required), and (2) To be involved with our local group, you MUST keep current annual membership in the International organization, POCI. This form enables new members to join BOTH the International POCI club and the local chapter at the same time!
MEMBERSHIP APPLICATION
POCI-ARIZONA CHAPTER #29 & PONTIAC OAKLAND CLUB INTERNATIONAL
please print
Name(s)__________________________________________________ Do you own a Pontiac_______ or an Oakland________
______________________________________________ Year Style Number* Cylinders
Address
__________________________________________________________________________________________________________
City, state, Zip code Email address
Home or cell phone(_______)_________________________________ Do you own a GMC Truck____________
E-mail address____________________________________________________________________________________________________
Year Style Number* Cylinders I understand that membership in POCI International is a requirement for membership *As found on firewall or cowl tag. If not available, give best
in this chapter and that if I should allow my International membership to expire, I will description of model, number of doors, body style, etc.
automatically lose membership privileges in this chapter. It will be my responsibility to
renew my International dues INDEPENDENTLY of my chapter dues after the first year. Owner(s)______________________________________
Arizona Chapter POCI Membership Application Address_______________________________________ E-mail address_______________________________
Signature_____________________________________Date_________
City__________________________________________
Pontiacs, Oaklands, and GMC Trucks presently owned…
State________________________Zip code___________
1) Year_______Model_______________Body style________________
Home or cell phone( ______ )______________________
Engine/Trans____________________Condition________________
How did you first hear of POCI?____________________
2) Year_______Model_______________Body style________________
______________________________________________
Engine/Trans____________________Condition________________
3) Year________Model______________Body style________________ Signature______________________________________
Engine/Trans____________________Condition________________
FILL IN ALL APPLICABLE BLANKS ABOVE AND MAIL THIS FORM WITH A CHECK OR MONEY ORDER TO:
National Dues………………………..………….…….........$35.00 TREASURER, AZ CHAPTER POCI
(Mandatory) Includes subscription to "Smoke Signals" magazine Randy Rogers
Arizona Chapter Dues…………….….….…………………$18.00 9401 E Still Springs Pl.
Includes local activities & newsletter with calendar of events Vail, AZ 85641
TOTAL ANNUAL DUES……………………..………….......$53.00
Send SINGLE check or M.O. for this amount payable to "AZ POCI"