Membership Checkout – Route 66 Car Club of Flagstaff

ROUTE 66 CAR CLUB OF FLAGSTAFF

Membership Application

Membership is open to anyone with an interest in the automobile hobby. Owning an Antique, classic, sports car or specialty vehicle is not a requirement for membership. Membership is 2 people in the same household, yourself and a spouse, partner, significant other, child or parent. (All boxes with an asterisk * are required)

Membership Information

You have selected the Full Member / New Member membership level.

Membership is open to anyone with an interest in the automobile hobby. Owning an Antique, classic, sports car or specialty vehicle is not a requirement for membership. Membership is 2 people in the same household, yourself and a spouse, partner, significant other, child or parent.

The price for membership is $40.00 now and then $35.00 per Year.

Do you have a discount code?

Account Information

Username

Password

Confirm Password

Email Address

Confirm Email Address

Full Name LEAVE THIS BLANK

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A little bit about you

Member since (year)

Type the year you joined the Route 66 Car Club of Flagstaff:

Your phone number (not public, for club use only)

Your Birthday (Month / Day --Year is Optional)

Spouse / Partner name

Spouse / Partner phone number (not public, for club use only)

Spouse / Partner birthday (Month / Day --Year is Optional)

Car #1 (Year, Make, Model, Color)

Car #2 (Year, Make, Model, Color)

Car #3 (Year, Make, Model, Color)

Car #4 (Year, Make, Model, Color)

Signature: I/We hereby apply for membership in the Route 66 Car Club. I/We agree to comply with all fundamental practices set forth in the Bylaws of the Route 66 Car Club of Flagstaff *

Type your full name

Date

Physical address (not public, for club use only)

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