Milwaukee Stock Car Racing Association
Also known as MSC
Renewal ____ or $10 initiation fee paid __________________
(date)
Yearly dues paid ___________________ (must be paid to vote)
(date)
The following information will be listed on the Member Roster that is shared ONLY with members.
PRINT your name ______________________________________________________________
PRINT your address _____________________________________________________________
Your home phone _______________________ Your cell phone __________________________
Your email address _____________________________________________________________
You will be notified of meetings and events via email and the MSC website.
____I don’t have email, please mail or call using the information above
In case of emergency, please list two contacts
Contact one:
Name ____________________________________ Relationship: ________________________
Phone one: ____________________________ Phone two: _____________________________
Address: ______________________________________________________________________
Contact two:
Name ____________________________________ Relationship: ________________________
Phone one: ____________________________ Phone two: _____________________________
Address: ______________________________________________________________________
Return this application to Mary Dessereau, N8041 Hwy 67, Mayville, WI 53050
February 16, 2020