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Print this form and mail it with your check. A signed paper copy with payment is required.

Ohio Two-Cylinder Club Inc.

Membership Application

(area code)
Membership type

Make check payable to: Ohio Two Cylinder Club
Please note: The bank will not cash checks made out to Emily.

Mail this form with your dues to our Membership Secretary:
Emily Welden, 4121 Deerfield Avenue South, Dalton, Ohio 44618

Life Membership rates:

  • Age 40 years & under - $200
  • Age 41-45 years - $185
  • Age 46-50 years - $170
  • Age 51-55 years - $155
  • Age 56-60 years - $140
  • Age 61-64 years - $125
  • Age 65 years & over - $110