Yes! I’d like to join the Lincoln-Zephyr Owners Club today!

Name: _________________________________________________________

Spouse’s Name: ___________________________________________________

Address: ________________________________________________________

City: ________________________________ State: ________ Zip: __________

Telephone: (H) (____)_____________ (O) (____)_________________________

 Email: _____________________________________________

HV-12 Lincolns (Zephyrs and Continentals through 1948) Currently Owned:
(Remember, you don’t need to own a Lincoln to join the club

* Under "Condition," Please indicate: O (Original), R (Restored), PC (Parts Car)

Yearly Dues Are (Please circle one.): US Bulk Mail $45.00, US First Class $53.00,
Canada & Mexico 53.00, Overseas Air Mail $63.00

Print this form out and mail it to us, including payment in U.S. funds. If you fill out the following credit
card information (We accept Visa and Mastercard only), you may mail it
(LZOC, 1167 S. Livermore Ave., Livermore, CA 94550-9534), or email it to us:

Amount to charge $_______________ Circle one: VISA or     Mastercard

Name on card (please print) __________________________________________

Acct. # ________________ Security Code (On back of Card)_____ Exp.Date _____

Signature _______________________________________________________