190SL Group Membership Application
The International 190SL Group, Inc., is a not for profit club founded for190SL enthusiasts who desire
more knowledge about the car and the restoration of it. Ownership of a 190SL is NOT required, and those that are
contemplating the purchase of a 190SL will find much value in Group membership
prior to the purchase of a 190SL. The 190SL Group is not associated with
Mercedes-Benz of North America, or the Mercedes-Benz Club of America,
Please fill out and Submit online or mail the application
with a check payable to the 190SL Group to: 190SL Group, 258 E. Paul Revere Dr. Chesterton, IN. 46304
Full: Spouse’s Name
Address Line 1:
Address Line 2:
City: State Zip Country:
Email address: Home Phone: Work Phone
Year of 190SL: Years Owned: Serial Number
Colors, Body: Interior: Convertible Top: Hardtop:
Please list optional equipment:
The present condition of my car can best be described as:
My plans for the car are to :
Other Mercedes-Benz clubs of which you are a member:
Is there any special area that the Group could help you with towards reaching the goal you have planned for you car?
Is there some area of expertise you posses and would be willing to lend to the group?
Annually, we publish a national list of members’ names and phone numbers. This list is for members’ use only and not to be used for commercial purposes. I hereby apply for membership in the 190SL Group and agree to abide by their by laws and not use the membership list for commercial purposes nor to give out.
Applicant’s Signature: ___(not
required for online submission)___
Date:
Or email to :
dafreese01@aol.com
Yearly dues are $35.00 (U.S.A.) $40 (Canada), $45 (International) in U.S. funds.
New Member
Current Member
Thank you for your application to the 190SL Group,
Shirley Freese, Membership Manager, (219) 926-3216