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, PO Box 11194, Springfield, Illinois 62791-1194.

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