CT TRIUMPH REGISTER -
2012 MEMBERSHIP FORM
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Membership in the Connecticut
Triumph Register (CTR) is open to anyone with an interest in Triumph cars -
any year, any model, and any condition! Previous Triumph owners, current
Triumph owners, even prospective Triumph owners are welcome to join our
family-oriented club. The membership year runs from April 1st 2012
to March 31st 2013. Dues are $30 per year; discounted to $20 per
year if you agree to email delivery of the monthly newsletter and annual
directory. If you join after September 1st 2012 dues are pro-rated
to $15 (discounted to $10 if you agree to email delivery) for remainder of
membership year. |
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Name: |
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Mailing Address: |
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Home/Primary Phone: |
Alternate Phone: |
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Email Address: |
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Are you a member of the Vintage
Triumph Register? [
] Yes [
] No (CTR is a local chapter of VTR- for more
information go to www.vtr.org) How would you like the monthly
newsletter and annual directory delivered to you? [
] By email (dues are discounted to $20) [
] By postal mail (dues are $30) May we publish your contact and
car information in a club directory (publish date is July 2012)? [
] Yes [
] No Triumphs and/or other British cars
you own: |
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Model |
Commission No./VIN
(optional) |
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Send form and payment to:
CT Triumph Register
Terry Telke
203-691-7138