Annual Membership Dues:
Individual - $30        Family - $45

To join or to renew, please complete this online application.  Then mail your check or
money order for the appropriate dues amount to:

Mopar Magic Unlimited Auto Club, Inc.
PO Box 52081  Shreveport, LA 71135

New members receive a club t-shirt, window decal,
monthly newsletter and admission to special club events!

Thanks, and welcome to the Club!
MoPar Magic Club Membership Application
Your First Name: *
 Your Spouse's First Name:
Your Last Name: *
 Your Spouse's Last Name:
Your Birthday (MM/DD):
 Your Spouse's Birthday (MM/DD):
Street Address: *
City: *
 State: *
 Zip Code: *
Home Phone  (XXX) XXX-XXXX*
 E-Mail Address
Work Phone  (XXX) XXX-XXXX
 Occupation
* indicates required field
Please List Mopars Owned. (Optional - Ownership is not required for membership.)
T-Shirt Size(s)
Family Members' Names and Dates of Birth - If you'd like announcements in the newsletter.
dodge,plymouth,jeep,chrysler,desoto,hemi,ram,louisiana,east
texas,dodge,plymouth,jeep,chrysler,desoto,hemi,ram,louisiana,east
texas,dodge,plymouth,jeep,chrysler,desoto,hemi,ram,louisiana,east
texas,dodge,plymouth,jeep,chrysler,desoto,hemi,ram,louisiana,east texas,