Page 65 of Cougar Parts and Accessories Part 2 by Auto Krafters, Inc.

Member Questionnaire International Mercury Owners Association Name ___________________________________________________________________________________ Please tell us: About your Mercury (how often do you drive it, plans you have for it, and any other pertinent information): What expectations you have of the I.M.O.A. (National Regional): Which kind(s) of events you hope to participate in: What would get you to attend a meeting: Are you interested in helping with running of the club? If so, how would you like to assist? What, if any, are your areas of expertise? International Mercury Owners Association 6445 W. Grand Ave. Chicago, IL 60707-3410 www.mercuryclub.com Phone: 773-622-6445 Fax: 773-622-3602 E-mail: JoinIMOA@mercuryclub.com

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