The Mad-City Ramblers

Chapter of the AMC/Rambler Club

Madison, WI

Name__________________________

Address________________________

City ___________________________

State________Zip________

Phone (____)____-_______

E-Mail _________________

List your Rambler/s

• Series (Classic,Rebel, American, Etc...)_________

• Body Style_____________________

• Engine_____________

• Color_______________

• The cars name (if any)______________

• Parts Needed ___________________

Send your Application along with U.S. $15.00 To:

Art Yngsdale

Box 73

Prairie Du Sac, WI  53578