January 2003 The Healey Enthusiast
Page 7
From the newsletter
of the A-H Club of Southern Ontario Membership / Renewal Form q
Minnesota A-H Club € New € Renewal . . . . . . . . . . . . . . . . $15.00 q
Austin-Healey Club of America € New
€ Renewal . . . . . .
$40.00 q
BOTH CLUBS . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . .
$55.00 Name:
Spouse:
Address:
City: State Zip:
Home
Phone ( ) - Work Phone ( ) - . Fax:
( )- E-mail address:
HEALEY INFORMATION:
Condition: € Show Quality € Nice & Roadworthy
€ Could be running with
help € Restoration Project REMARKS
/ BRIEF HISTORY: Please make checks payable to: Minnesota
Austin-Healey Club. Send
to Curt Carlson (see
page 2).
Year ____ Model __________ Color ___________Original Owner
(Y/N)___
Year____ Model ___________ Color ___________Original Owner (Y/N)___