Keystone State Chapter Membership Form

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2024 Membership form

Email *

Keystone State Chapter Membership Form

Name *

Address *

City, State, Zip Code *

phone number *

email *

POCI number (if known)

List of Pontiac, Oakland, GMC vehicles you own

By becoming a member of the Keystone State Chapter of POCI, I understand the information I have provided may be published in the club directory (No personal contact information will be published on the club's public area website). May we place your full information in our roster? *

Yes

Signature *

Membership option *

1 - One year membership Jan 1st-Dec 31st (new or renewal) - $20

2 - Half year membership -- If joining after July 1st - $10

Required

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