Application for Membership
Hoosier Chapter of the Falcon Club of America
We thank you for your interest in the  Hoosier Chapter Falcon Club of America.
The chapter was formed in February of '86 to serve the members of the F.C.A. in the state of Indiana. Our purpose is to promote the restoration, ownership, and enjoyment of the Ford Falcon.
Membership in the "Hoosier Chapter" is open to members of the F.C.A. in good standing, who abide and uphold their laws. Members must be at least 16 years of age.
Name: .............................................................

address : ...........................................................

City: .................................................................

State: ...........................Zip:...............................

Phone: ..............................................................

Email:................................................................

Date of Application: ...........................................

Type of Falcon owned

Year: ................................................................

Model: ..............................................................

Hardtop or Convertible: ......................................

Engine: .............................................................

Trans: ..............................................................

Color: ..............................................................

Owned since: ..................................................
Personal Information
Membership in the National Club is required. If you are not a member of the F.C.A., please send an additional $ 25.00 check payable to: Falcon Club of America. The check and a copy of this application will be fowarded to the F.C.A.
If you are already a member of the"National Club" please give your membership number #:............. Mail Application  Dues to: Hoosier Chapter Falcon Club of America, 1090 Springwater Dr. Greenwood. IN. 46143
Meetings
The Hoosier Chapter meets the 1st Sunday of every month at Edward's Drive-in, located at
2126 S. Sherman Drive in, Indianapolis, Indiana, at 3:00 pm. You can contact Edward's at
317-786-1638.


Dues for the Hoosier Chapter are $15.00 per year.
You will be notified in advance for your renewal,
please pay promptly, thank-you.



President

Carl Gilbert




Vice President

Roy Lee



Internet Coord.

Rick DeVito
5901 Village Dr.
Indianapolis IN
46239
317- 432-5140
Dues
Information Contacts
hoosierfalconclub.com