San Diego Chapter of 
P.O.C.I. MEMBERSHIP APPLICATION / RENEWAL FORM

IMPORTANT: To be a member of this chapter you MUST be a current member of the 
Pontiac Oakland Club International (P.O.C.I.) and have a P.O.C.I. Membership number.

Fill out the form below and send $25.00 check or money order (US funds only) made out to S.D.  P.O.C.I.
SEND TO:  S.D.P.O.C.I.   11027 Dutton Drive, La Mesa, CA, 91941

Application Type:

New Member  Renewing Member

Name

 _____________________________________________DATE_________

P.O.C.I. #
 (MUST BE A MEMBER OF P.O.C.I.)

 ___________________________________________________________
Street Address: ___________________________________________________________
City: ____________________ State: _____ Zip: _________________________
Phone Number ___________________________________________________________
Birthday: Month: _________ Day: _____ Anniversary: Month: _________ Day: _____
Email: ___________________________________________________________

How did you hear about our club?

 _________________________________________________________

ASSOCIATES (Spouse or Relative) ______  x $2.00 each

Associate Member 1:

 _________________________________________________________

Associate Member 2:

 _________________________________________________________

VEHICLE TYPE INFORMATION

Vehicle 1 ________________________________________
Make of Vehicle (Pontiac, Oakland or GMC)

______________________________
Model (Firebird, GTO, Grand Prix)

_________________________
Body Style (Coupe, Convertible)

____________
Year

____________
Engine

___________
Color

Vehicle 2 ________________________________________
Make of Vehicle (Pontiac, Oakland or GMC)

______________________________
Model (Firebird, GTO, Grand Prix)

_________________________
Body Style (Coupe, Convertible)

____________
Year

____________
Engine

___________
Color

SIGNATURE:____________________________________

ANNUAL MEMBERSHIP FEES
 1) NEW MEMBERS ONLY CAN PAY A PRORATED FIRST YEARS DUES DETERMINED BY THE MONTH JOINING:
JANUARY/FEBRUARY/MARCH $25.00 APRIL/MAY/JUNE $20.00 
JULY/AUGUST/SEPTEMBER $20.00 OCTOBER/NOVEMBER/DECEMBER $15.00
2) Annual Dues are $25 and Due the 1st of January every Year.
3) MEMBERSHIP IN THE NATIONAL CLUB IS REQUIRED - THIS IS A CHAPTER OF THE NATIONAL CLUB. 
THE WAR WHOOP Newsletter published Electronically monthly by the San Diego Chapter of The Pontiac-Oakland Club International, SDPOCI.com
The local San Diego Chapter sponsors events, tours, family get together, car shows, etc. We have an annual Christmas Party and Swim Party.

Suggestions from members are always welcome and member participation is the strength of the Club.
Thank you for your interest in our club!