On-Line Registration

This registration form and all information herein is strictly for the use of our club.  We will not sell or distribute this information to any company.  Once a year, our members are provided with a general members list.  The information you provide here is sent to our Membership Director who will await payment from you.

Please provide the following contact information: (highlighted items are required)

Name  
Street Address  
Address (cont.)
City  
State/Province  
Zip/Postal Code  
Country  
Home Phone  
FAX
E-mail  
URL

Please provide the following information on the cars you own:

Car #1
Year
Model
Condition
Engine
Transmission
Car #2
Year
Model
Condition
Engine
Transmission
 

Once you press Submit Form, the information will be sent to the aforementioned persons.  On the confirmation page of your registration, which you will see next, you will be provided with the Mailing address of our Membership Director for the mailing of your cheque or money order.  If you own more than two cars, you may resubmit this form as many times as necessary to provide all the information.

 
Copyright © 2002 [Canadian Falcon Fairlane Comet Club]. All rights reserved.
Revised: August 29, 2008