Application
First Name:
Last Name:
Address:
E-mail:
Phone:
Emergency Phone:
Spouse First Name:
Vehicle # 1:
Vehicle # 2:
Vehicle # 3:
Note:
Club Dues are $15.00 per year, no limit on number of vehicles for registrant.
Meetings will be announced via email or phone, normally will be conducted at car
shows. This form may be submitted via email or printed and presented to any club
member for consideration.
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Wabash Val
ley Cruisers
