St. Louis Triumph Owners Association

Membership Application and Information Form

FIRST NAME

 

LAST NAME

 

NAME OF SPOUSE OR S.O.

 

STREET ADDRESS

 

CITY,STATE,ZIP

 

EMAIL

 

DAY PHONE

 

EVENING PHONE

 

CELL PHONE (ONLY USED ON DRIVES)

 

PHONE NUMBER TO BE PUBLISHED IN CLUB ROSTER

 

TRIUMPHS OWNED:

YEAR:

MAKE:

MODEL:

 

 

 

 

 

 

 

 

 

 

 

 

OTHER CARS OF INTEREST PRESENTLY OWNED:

YEAR:

MAKE:

MODEL:

 

 

 

 

 

 

 

 

 

 

 

 
 

Send the application form and $21.00 dues (checks only, payable to SLTOA) to:

Bonnie David - Treasurer
500 Marie Drive
St. Charles, MO 63301

Phone: 636-949-0825
E-Mail: