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THE COUNTRY CRUISERS
APPLICATION FOR
MEMBERSHIP |
Name: ___________________________
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Date of Birth: ______________
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Spouse:
__________________________
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Date of Birth: ______________
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Address: ________________________________________________________ |
City: _________________________ State:
_________ ZIP: ____________ |
Phone (Including area code) : ________________________________________ |
Email:
__________________________________________________________ |
Vehicle Year: _______ Make: ____________________
Model: ___________ |
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.............................. Clip and Keep Bottom
Half if you like ...............................
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The
Country Cruisers Car Club, Inc, was organized in 1990 for family-oriented
entertainment for all car enthusiasts. It is a non-profit
organization that promotes charitable work and wholesome activities.
Monthly meetings are held on the first Tuesday of each month and numerous
club activities are held for the entire family of the members of the
Country Cruisers. There are NO ALCOHOLIC beverages or reckless
driving permitted at any of our club functions.
Family membership dues are $20.00 per year beginning January 1 and ending
on December 31st.
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Make checks payable to:
THE COUNTRY CRUISERS CAR CLUB, INC.
PAT CORNELL
6446 ROSETTA DRIVE
BURLINGTON, KY. 41005
Upon receipt of your membership dues, a newsletter will be sent after each
scheduled meeting.
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