MEMBERSHIP APPLICATION FOR
CRUISIN' CLASSICS OF CHESTER COUNTY, PA


  Member's Name___________________________________

  Birthday__________________

  Address__________________________________________

  City____________________________State____Zip_______

  Telephone_______________________

  E-Mail Address:____________________________________

  Spouse's Name________________________________

  Spouse's Birthday______________________________

  Anniversary__________________________________



  Model_________________________ Year________

  Color Exterior_______________Interior_________________


  Annual dues Are $15.00  Per Year

  Mail To:  
Cruisin' Classics of Chester County, PA
                  P.O. Box 2480
                 West Chester, PA 19380-2480   

  http://geocities.com/motorcity/4791
  [email protected]
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