Region Online Petition For New Region - Ford Model A Restorers Club

Online Petition for Formation of a new Region

Use this online form to send your petition directly to the Director of Regions and our office staff.

Petition for MARC Region

This is the online form for prospective new regions to apply.

Proposed name of new region(Required)

Enter the name of your Region. To: Director of Regions We, the undersigned, petition for official recognition as a Region of the Model A Restorers Club (MARC). All individuals listed below are current MARC members in good standing and agree to conduct the business of this Region in accordance with the Constitution of MARC.

Area and State of Operation(Required)

Name of Applicant(Required)

This should be the name and details of the principal organizer

First Last

MARC Membership Number(Required)

This can be found on the sleeve of your Model A News Magazine

Phone(Required)

Include area code

Email(Required)

Enter Email Confirm Email

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

President(Required)

This should be the name and details of the club's President.

First Last

MARC Membership Number(Required)

This can be found on the sleeve of your Model A News Magazine

Phone(Required)

Include area code

Email(Required)

Enter Email Confirm Email

Address of applicant(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Vice President(Required)

This should be the name and details of the club's Vice President.

First Last

MARC Membership Number(Required)

This can be found on the sleeve of your Model A News Magazine

Phone(Required)

Include area code

Email(Required)

Enter Email Confirm Email

Address of applicant(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Secretary(Required)

This should be the name and details of the club's Secretary

First Last

Phone(Required)

Include area code

MARC Membership Number(Required)

This can be found on the sleeve of your Model A News Magazine

Email(Required)

Enter Email Confirm Email

Address of applicant(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Treasurer(Required)

This should be the name and details of the club's Treasurer

First Last

Phone(Required)

Include area code

MARC Membership Number(Required)

This can be found on the sleeve of your Model A News Magazine

Email(Required)

Enter Email Confirm Email

Address of applicant(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Contact Name For Website and Model A News(Required)

This should be the name and details of the club's principal contact

First Last

Phone(Required)

Include area code

MARC Membership Number(Required)

This can be found on the sleeve of your Model A News Magazine

Email(Required)

Enter Email Confirm Email

Address of applicant(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Region Petition Fee

Price:

Total

Credit Card(Required)