Robert & Vicky Bruce

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Membership Application/Renewal
For new member application or membership renewal complete Application/Renewal
Membership Form below by printing and filling in this form then return by USPS mail to the
address below. Please bear with us during the Club start up process. Prior to April 1st the
website on line application, renewal and payment process is under development.
Application information is how we tailor your welcome packet/membership information,
connect and communicate with you to keep you informed. Information submitted will remain
confidential and will only be used inside the Club and Jaguar Clubs of North America (JCNA). Our
mailing list is not for sale.
Charter membership is available prior to the general membership drive. Charter memberships
are $50 (US Dollars) for the first year (2015). Membership also includes membership in JCNA.
Please enclose your Application Form with your check payable to “Jaguar Club of SWF” and mail
to:
Jaguar Club of SWF (JCSWF)
8951 Bonita Beach Road, S.E., Ste. 525-296
Bonita Springs, FL 34135
Membership Dues/Fees
Ongoing yearly and renewal dues are $65 each January and include a year’s subscription to both the
Jaguar Clubs of North America including “The Jaguar Journal” and our local JCSWF Club newsletter,
events and website member’s only access.
Application Form – Jaguar Club of Southwest Florida (JCSWF)
You are? (Check one)
New Member ____
Requesting Dual Club Status _____
JCNA Number ____-_______
Affiliate Club Number ____-_______
Renewing Member ____
JCSWF Member Number SE68-______
Member Details:
First Name _________________
Desired First Name to be used _______
Last Name ___
__________
_________________
Spouse _______________________
Desired First Name to be used _________________
Minor Children’s Names _____________ ____________ _____________ ______________
Your E-mail _________________
Primary Phone ____________
Secondary Phone (optional) ____________
Address (what the Club needs to use to contact you)
Street _________________________________
City ___________________ State __________
Zip/Postal Code ____________ Country ________
Alternate Address (optional)
Street ____________________________________
City ____________________
State __________
Zip/Postal Code _____________ Country ________
Jaguar Vehicle Details:
1.
Make
Jaguar
Model _____________ Color
Year
__________
2. Make
Jaguar
Model _____________ Color
Year
_____________
__________
3. Make
Jaguar
Model _____________ Color
Year
_____________
_____________
__________
(Add additional Jaguars owned on last page)
Are you a full time resident?
(Check) Yes _____ No _____
Will you attend Jaguar Club events? (Check) Yes _____
No _____
What type of functions do you like most? (Check or circle those that apply)

Local displaying of our Jags

Concours competition

Jag Road Trips and other localized events

Network interaction with members

Attend venue both scheduled and impromptu social gatherings


Participation in joint events with other local car clubs or Jaguar affiliate clubs (Tampa, Ft.
Lauderdale, and Orlando)?
Renovation, repair or maintenance of classic Jags
Would you like to be considered for an officer or committee position in the future? (Yes/No) ___________
In what role would you like to support the Club?
___________________________________________
Would you like to be added to our: (yes/no)
E-mail distribution list ______ Facebook Social Group ______
Note: The Facebook group and some other social media functions available on the JCSWF site www.jaguarclubofswf.com maybe restricted to dues paying members only
All Club officers and chairpersons keep the Club alive and functioning by volunteering their time
and efforts year after year. We all have jobs, families, and other responsibilities that take up our
free time; there are no full-time employees at JCSWF. Please bear with us if things take a little
time or if an issue falls between the cracks. We’re trying hard to make this the best Jaguar Club
on this side of the pond! (Welcome to the Club!)
Date Submitted
____/____/____
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