Late Model Mustang Club of Connecticut Online Membership Application
 

Please be sure to fill out as much of the application as you can. This helps us to better serve our members.
 

The information you provide here will be held in strictest confidence. It will not be given out, sold or otherwise shared outside the club. LMMC-CT only uses this information to occasionally send you information pertaining to this club.

Note: All fields marked with a * are required to complete this form. Thank you!
All membership applications are subject to approval.

 
  Primary Applicant Information:
* First Name:
 * Last Name:
* Street Address:
 Apartment:
* City:
 * State:
 * Zip:
* Home Phone: (xxx-xxx-xxxx)
 Cell Phone: (xxx-xxx-xxxx)
 * Birth Date: (mm/dd/yyyy)
* EMail:
 Forum Screen Name:
T-Shirt Size: Medium Large XL XXL

  Primary Car Information:
* Year:
 * Model:
 * Color:
* Engine:
 Power Adder:
* Purpose of Car:
Daily Driver Weekend Warrior Show Car Drag Racer Autocross
 

  Secondary Applicant Information:
* First Name:
 * Last Name:
* Street Address:
 Apartment:
* City:
 * State:
 * Zip:
* Home Phone: (xxx-xxx-xxxx)
 Cell Phone: (xxx-xxx-xxxx)
 * Birth Date: (mm/dd/yyyy)
* EMail:
 Forum Screen Name:
T-Shirt Size: Medium Large XL XXL

  Secondary Car Information:
Year:
 Model:
 Color:
Engine:
 Power Adder:
Purpose of Car:
Daily Driver Weekend Warrior Show Car Drag Racer Autocross
 

  Miscellaneous Information:
* Member Referral
* Membership Type  
* Payment Type  

 
By sending the Membership Application above I agree and sign that I have read and agree with the Code of Conduct and Disclaimer on the Membership Information page of LMMC-CT’s website. (www.LMMC-CT.com) I understand minimum insurance coverage required by Connecticut state law must be met and currently in place for all automobiles participating in club activities or sponsored events. I hereby release and hold harmless the Late Model Mustang Club of Connecticut (LMMC-CT) of any and all responsibility for any damages or losses, known or unknown.

 

   

If paying by PayPal, please send to: pete@lmmc-ct.com - Subject : LMMC-CT Registration. Please remember to include your screen name if applicable.

If paying by check, checks should be made out to "Late Model Mustang Club of CT" and should be sent to:

Peter Calabrese, Jr.
LMMC-CT
56 Plymouth Rd.
Fishkill, NY 12524
Attn: Membership

All membership applications are subject to approval.  All Membership fees are non-refundable.

PLEASE NOTE : It can take up to one full week to process new members. If you are paying by check, please note that membership packs will not be sent out until after the check has cleared. Please allow 2-3 weeks for delivery of your member packs.  All memberships for a season received before February will be attempted to be delivered at the Winter Party or mailed within 2-3 weeks after the event.  No packages will be sent out until this time.