APPLICATION TO Join THE
ARKANSAS TIN LIZZIES CLUB
Name_____________________________ Birth date
____________
Spouse name ______________________ Birth date
____________
Address ___________________________________
City _______________________________ Zip ____________
Type of Model T
_________________________________________
Model T club
affiliations____________________________________
Telephone # _______________ e-mail
_______________________
Cell phone # _______________
Other suggestions, or
comments_____________________________
______________________________________________________
______________________________________________________
Our club tours and meets in interesting places in Arkansas
and surrounding States.
We welcome members from other Model T Clubs to join our
Club and/or just
come tour with us...
Annual membership dues per family: $15.00
Please return this form with your check payable to
“Arkansas Tin Lizzies”
to the following address:
Nellie Howell
16508 West State Hwy 155
Dardanelle, AR 72834
Of If you have any questions you may contact Nellie Howell
at (479)
229-3878 | 
