Renault Owners Club of North America
Membership/Subscription Form
To join, print out this form and send it, along with your payment (payable to Renault Owners Club), to the address at the bottom of the page.
If you have any other questions on membership, you can call Jacques Lynn, at (619) 561-6687 (CA)
PLEASE PRINT LEGIBLY
Name Date
Address
City
State Zip Country
Telephones: HomeOffice
E-mail Address:Referred by:
Year Model Oval Plate Number Engine Number Color Miles Modifications/other information
Online Membership
 $15- one year. Enclosed is my payment (in US Funds, please)
Postal Membership
 $25- one year. Newsletter to be sent to the U.S

$30- one year. Newsletter to be sent to Mexico or Canada.

Enclosed is my payment. (in US Funds, please)
Enclosed is my payment. (in US Funds, please)Please mail to:

Renault Owners Club of North America
c/o Sharon Desplaines
7467 Mission Gorge Rd #81, Santee CA 92071
Tel: 619-334-1711