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 ____/____/____ V3.0/3-25-15 (manual)