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Please fill out
and return to:
LI GTO Club
PO Box 276
Levittown, NY 11756
If mailling
include $20 check for individual or $30 fee for Family
made out to LI
GTO Club. If you require
newsletters to be mailed, please add $5 to the fee.
Name:_______________________________________________________
Address:_____________________________________________________
City:_________________________ State:________
Zip Code:_________
Daytime
Phone:___________________ Evening Phone:_______________
E-mail address
__________________________________________________
GTOAA#________________________
Expiration:___________________
(Both found on
the mailing label of your copy of “The Legend”)
Year of
Car:_______________ Engine_________ Body Type__________
Transmission:___________________ Add’l Info:____________________
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