MEMBERSHIP APPLICATION
Name..............................................
Spouse ...........................................
Address ........................................................
City ........................... State ............ Zip .......
Email ............................................................
Primary Fiero Info:
Model ...................................................
Engine ..................................................
Year .....................................................
Color ....................................................
No Membership Fees
Mail this form along with Photo and story about your Ride to.
Capitol City Fieros
C/O Robert Holtz
4058 Oak Road
Leslie, Mi. 49251
Email to:
kilrblu@sbcglobal.net (photo needs to be jepeg)