COCTRA Membership Application

COCTRA Dues: $15 per year

It is highly recommended--but not required--for COCTRA members to also be members of TRA NATIONAL.

Name
Address (include street or box number)
City, State, and Zip
Phone:    Business                               Home


Ownership:    TR2   TR3   TR3A   TR3B   TR4   TR4   IRS   ITALIA   OTHER
(circle all that apply)



Car(s) Description (include year and commission number)


Upon receipt and processing of your application, a membership card, windscreen decal, and a registration card
will be mailed to you.

Please mail this application and your check or money order to:

COCTRA
C/O Ron Hartley
28342 Lake Logan Road
Logan, OH 43138