Please fill in the following information about yourself and
your car and someone from the club will get back with you.

First Name: (Required) Model:
Last Name: (Required) Year:
City: (Required) Trim:

State: (Required) Color:
Age: (Required) Number of doors:

E-Mail Address: (Required) Any current mods?:

How you heard about us: (Required)

Other:

Other car club affiliations?: Any planned mods?:

If yes, which ones?:

Tell us a little about yourself: Current Member you know (if any):

*** Filling out this form will NOT get you access to the MCCGP Message Forum!
This is pre-approval form for actual "Club Membership."***

***All images and data submitted on my behalf to the Motor City Club Grand Prix for use on the MCCGP website
have been granted with my consent. The MCCGP has my express written consent to use this data freely.***


First Name:	(Required)	Model:
Last Name:	(Required)	Year:
City:	(Required)	Trim:
State:	(Required)	Color:
Age:	(Required)	Number of doors:
E-Mail Address:	(Required)	Any current mods?:
How you heard about us:	(Required)
Other:
Other car club affiliations?:		Any planned mods?:
If yes, which ones?:		Any planned mods?:
Tell us a little about yourself:		Current Member you know (if any):
* Filling out this form will NOT get you access to the MCCGP Message Forum! This is pre-approval form for actual "Club Membership."* *All images and data submitted on my behalf to the Motor City Club Grand Prix for use on the MCCGP website have been granted with my consent. The MCCGP has my express written consent to use this data freely.*