Wisconsin Jaguars Ltd. - a club for Jaguar car owners

Wisconsin Jaguars Ltd. Membership Application

Please print this form and mail with your check payable to Wisconsin Jaguars Ltd.
Family Membership = $60 annually.
Youth Enthusiast Membership (age 25 or less) = $48 annually. (birthdate is required)

Please mail to:
Karen Diercksmeier
Wisconsin Jaguars Ltd.
21770 Davidson Rd. Waukesha, WI 53186-4008

Date____________________

Name(s)_____________________________________________________________

Address_____________________________________________________________

City / State / Zip_______________________________________________________

Home Telephone ___________________

Office Telephone ___________________

Fax ___________________

E-Mail address_____________________________________________

Jaguars Owned (Year, Model, Color)

1. _________________________________________________________________

2. _________________________________________________________________

3. _________________________________________________________________

4. _________________________________________________________________

5. _________________________________________________________________

6. _________________________________________________________________

If you have more, and some of us do, please attach a sheet with the remaining cats.