Thank you for joining NortheastIron. Your membership enables you to compete for the season
championship as well as other benefits listed below. Memberships are valid for the current season.
Directions: 1. Print out this form (right click - print)
2. Fill in the required information
3. Mail this form and $40 individual or $60 team payable to: Albert Watson
PO Box 42
Cranford, NJ. 07016
4. If you prefer paypal, paypal the funds to [email protected] and email the required
information to [email protected]
NortheastIron annual membership includes the following: NEI Club ID card, Decal, sponsor benefits, and
season points plague if eligible.
Name ____________________________________________________________________________
Mailing address _______________________ City ___________ State _____ Zip code ________
Contact phone (preferably cell) ________________________________________________________
Email address ______________________________________________________________________
Class (race or time trial) _____________________________
Car year / make / model _____________________________
Car number _______________________________________
Sponsors / Race team _______________________________
Other _____________________________________________________________________________
Privacy - We respect your privacy. The information you provide will not be given out to anyone. It is
for NEI use only.