Northeast Hemi Owners Association, membership info

Online Application

Northeast Hemi Owners
The Club for ALL Mopars

Membership Application
New Renewal

Membership Type
Joint Individual

Email Address:

Owners Name:
Spouse Name:
Children's Name:
Address:	Address, City, State and Zip Code

Home Phone

Work Phone

Date of Birth

Today's Date

Occupation

Married?

Anniversary Date

Have you been, or are you now, an officer of any other car club? If so, which one?

Would you consider a club position?

What are your hobbies and other interests?

What type of activities would you like to see at the meets?

How did you hear of the NeHOA?

Car Information #1
Year:
Make:
Model:
Engine:
Trans Type:
Rear Type & Ratio:
Mileage:
Body Color:
Interior Color:

Describe your car's present
condition/modifications or options:

Car Information #2
Year:
Make:
Model:
Engine:
Trans Type:
Rear Type & Ratio:
Mileage:
Body Color:
Interior Color:

Describe your car's present
condition/modifications or options:

The Northeast Hemi Owners Association is a nonprofit organization incorporated in the state of Delaware. The purpose of the club is to aid the members and their families in the enjoyment and restoration of their Chrysler-powered high performance vehicles. Officers are elected every three years and serve without compensation. Members receive club newsletters and are invited to participate in all club events.

Checks should be made payable to the Northeast Hemi Owners Association. $25.00 yearly membership fee, includes six bimonthly newsletters. For joint membership, add additional $5.00 dues. Joint membership allows both husband and wife to vote and hold office in the Association. Canadian memberships valid only when paid by postal money orders in the U.S. currency. Application for membership does not guarantee acceptance.