Estes Park Car Club Image

A Car Club With Altitude.

Estes Park Car Club Membership

                        Logo copy

                                           MEMBERSHIP APPLICATION

 

NAME (FIRST, LAST) _____­__________________________SPOUSE’S NAME__________________

MAILING ADDRESS_______________________________CITY________________ZIP__________

HOME PHONE________________________  CELL PHONE ____________________________  

 

E-MAIL ____________________________________________________________ 

SIGNATURE ________________________________________________DATE OF APP.__________

DUES: ACTIVE MEMBERSHIP IN ESTES PARK CAR CLUB

INCLUDES MEMBER AND SPOUSE FOR ONE YEAR ____________________________$11.00

VETERAN MOTOR CAR CLUB OF AMERICA DUES _____________________________$40.00

MEMBERSHIP IN VMCCA MOUNTAIN AND PLAINS REGION______________________ $ 2.00

TOTAL DUES FOR EP CAR CLUB AND VMCCA MEMBERSHIP ___________________$53.00

TOTAL DUES JULY 1ST TO OCTOBER 1ST ____________________________________$30.00

MAKE CHECK PAYABLE TO ESTES PARK CAR CLUB 

MAIL CHECK AND APPLICATION TO:              

ESTES PARK CAR CLUB 
P. O. Box 732
Estes Park, CO 80517

 TREASURER: WILL RENSE   970-577-9919   EMAIL: allenspark1959@aol.com

CAR INFORMATION (FOR CAR CLUB USE ONLY)

CAR TYPE _____________________________ MODEL_______________________YEAR_____

CAR TYPE _____________________________ MODEL_______________________YEAR_____

CAR TYPE _____________________________ MODEL_______________________YEAR_____

Car’s Nick Name?___________________________________________________________

FOR ACKNOWLEDGEMENT AT OUR MEETINGS   MONTH / DAY OF BIRTH ___________

SPOUSES MONTH / DAY OF BIRTH ___________________

MONTH / DAY OF WEDDING ANNIVERSARY ________________________

revised 10/18/18 jec
                                                click here to download pfd file

© Estes Park Car Club 2018 All Rights Reserved.       jec

Come On Up To Estes.