Member Registration

Please fill in this form to register with the Aloha Mustang and Shelby Club of Hawaii. Required fields are indicated with a red asterisk (*), optional fields are noted as optional. At the end of the form you can choose between paying with a credit or debit card, or paying with a personal check.

You can register two people on this form. If you need to register additional people, please fill out this form again.

First Name *

Last Name *

Email *

Email

Confirm Email

Primary Phone number *

Alternate Phone Number

Are you an MCA (Mustang Club of America) member? *

• Yes
• No

If you know your MCA number please enter it here

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Address (Optional)

Address line 1

Address line 2

City

StateStateALAKASAZARCACOCTDEDCFLGAGUHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDMPOHOKORPAPRRISCSDTNTXUTVTVAVIWAWVWIWY

Zipcode

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We celebrate birthdays and anniversaries at our monthly meetings and in the club newsletter. If you would like to participate, please fill out the following information.

Birth Month (Optional)1 – January2 – February3 – March4 – April5 – May6 – June7 – July8 – August9 – September10 – October11 – November12 – December

Anniversary Month (Optional)1 – January2 – February3 – March4 – April5 – May6 – June7 – July8 – August9 – September10 – October11 – November12 – December

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Register an additional person? *

• Yes
• No

First Name 2 *

Last Name 2 *

Email 2 *

Email

Confirm Email

Primary Phone number 2 *

Alternate Phone Number 2

Birth Month 2 (Optional)JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember

Anniversary Month 2 (Optional)JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember

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Tell us a little about your Mustang or Shelby

Car 1 Year

Car 1 Color (exterior / interior)

Car 1 Body Style

Car 1 Special Model

Car 2 Year

Car 2 Color (exterior / interior)

Car 2 Body Style

Car 2 Special Model

Car 3 Year

Car 3 Color (exterior / interior)

Car 3 Body Style

Car 3 Special Model

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AMSCH Membership is $30.00 for each person. Please choose how you want to pay.

If you participated in three parades in the past membership year, select ‘Parades’.

Credit / Debit card payments are done via Stripe. We no longer use PayPal

AMSCH Membership for one person

Price: $ 30.00

AMSCH Membership for two people

Price: $ 60.00

Payment option *

• Credit or Debit Card
• Check
• Parades

Credit / Debit Card *

Card

Name on Card

Submit Registration