OFFICIAL MEMBERSHIP APPLICATION

  1. An applicant must own a vehicle of not less than 15 years of age, or a vehicle deemed, by the Board of Directors, to be special interest in nature. The Board of Directors may approve an applicant without a vehicle for membership, without voting privileges in the club.
  2. The applicant must agree to abide by the Cool Cruisers Club Rules and Cool Cruisers Club By-Laws. A copy of each is on the Cool Cruisers web site: www.coolcruiserscarclub.com. An applicant after reviewing these documents may request, by mail, a refund of the club dues. This needs to be done within 30 days of application.
  3. Application fee is $15.00 for the first year and $10.00 for each year thereafter.
  4. Mail to: COOL CRUISERS CAR CLUB, 3149 S. 3rd STREET, SPRINGFIELD, ILLINOIS 62703.

    PLEASE PRINT ALL INFORMATION BELOW:

    MEMBER NAME _______________________________________________________

    SPOUSE NAME ________________________________________________________

    MEMBER DOB _______________________ SPOUSE DOB _____________________

    ADDRESS _____________________________________________________________

    CITY ____________________________ STATE ___________ ZIP _______________

    HOME PHONE __________________WORK PHONE _________________________

   CELL PHONE ____________________E-MAIL ADDRESS ______________________

   #1 MAKE OF VEHICLE _________________________ MODEL _________________

   YEAR OF VEHICLE _____________________

   #2 MAKE OF VEHICLE _________________________ MODEL ________________

   YEAR OF VEHICLE _____________________

   #3 MAKE OF VEHICLE _________________________ MODEL ________________

   YEAR OF VEHICLE _____________________

   _____________________________________________________________________

   SIGNATURE                                                                                     DATE

 

   ************* REMEMBER IT IS JUST FOR THE FUN OF IT***************