Oklahoma City Chapter of POCI Membership Information

Central Oklahoma Pontiac Association

(COPA)

MEMBERSHIP APPLICATION

Owning a Pontiac or Oakland is not a requirement of membership.
An interest and appreciation of these fine cars is the only requirement!

PRINT this form and mail with all applicable Dues to:

Tony Mirrione
4701 Sweetwater Dr.
Guthrie, OK 73044

Membership to the National Chapter of the Pontiac Oakland International (POCI) is required to be a member of the local chapter.

If you join POCI, the National Chapter Dues are $31.00 per year and are handled through them.

Local club dues are $12.00 per year. Make the check for COPA dues payable to COPA. The local chapter has a pro-rated chart for dues based on July as the start of our membership cycle. Circle the month during which you are making payment in the chart below. The dollar value associated with that month is the amount due to start your membership and get in synch with our annual membership billing cycle.

January $6.00	February $5.00	March $4.00	April $3.00	May $2.00	June $1.00
July $12.00	August $11.00	September $10.00	October $9.00	November $8.00	December $7.00

Member Information

Name ______________________________________________________

Spouse Name (if applicable)_____________________________________

Address ____________________________________________________

City, State, Zip _______________________________________________

Phone _____________________________________________________

E-mail _____________________________________________________

POCI Member number (if applicable) _________________

Vehicles

Vehicles (Year, Model, Body Style)

Pontiac #1 __________________________________________________

Pontiac #2 __________________________________________________

Pontiac #3 __________________________________________________