FALCON CLUB OF AMERICA
APPLICATION FOR MEMBERSHIP
WHEAT STATE Chapter of the FALCON CLUB of AMERICA
The Falcon Club of America is a non-profit club that was founded in 1979.
The club is an international club of more than 3000 members. The club is for individuals or families
that are interested in the restoration of the Ford Falcon automobiles that were manufactured from 1960 to 1970.
The Wheat State Chapter is a chapter of the Falcon Club of America and is chartered
to serve the Falcon owners in the Wichita & South Central Kansas area. The Chapter is a non-profit
club, registered with the Newton, Ks. Chamber of Commerce to function as a car club hosted out of Newton. This
Chapter is a family oriented club that provides much enjoyment for the members along with the emphasis upon the Falcon.
There are yearly dues and a chapter newsletter that is published every other month (odd). Meetings
are scheduled regularly with one meeting every other month (even) and one car show per year. The meetings
are held in different locations throughout the area offering opportunities for all members to attend.
Home Phone:_____________ (listed/Unlisted)
Spouse / Significant other name:______________
Birthday (Month & Day):__________
Other Car(s) &/or nterest:_____________________
Dues for this year (Wheatstate and FCA) : $40.00
for Chapter dues and $30 for National Dues New members fist year chapter dues are waved
Make checks payable to : Wheat State Chapter FCA.
Any questions:316-640-0495 Christopher Slifko
Club use only_____Packet sent_______
Dues to Treasurer________Added to Roster____