1. A person 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 these is provided to the member upon receipt of this application. If the applicant, upon reviewing these documents may request, by mail, a refund of the club dues. This should be done within a reasonable amount of time.
3. Application fee is $15.00 for the first year and $10.00 for each year thereafter.
4. This application may be returned by 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 ___________________

EMAIL 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