Cruisin’ Couples Membership Application
Date of Application ___/___/___
Name __________________________
Spouse’ Name ___________________
Address ________________________
City _______________State ________
Zip Code _________
Phone ( ) ____ ______
E-Mail Address __________________
Car Make __________ Year _____
Model _________ Color ______
Class:
Stock __ Modified__ Simi Mod. __ St. Rod __
Signature of Owner _________________________
Sponsor’s Name ____________________________
We go together stay together, park together & never leave anyone behind!
His DOB __/__/__
His Shirt size
S ___
M ___
L ___
XL ___
XXL ___
Anniversary date ___/____/__
Her DOB __/__/__
Her Size Shirt
S ___
M ___
L ___
XL ___
XXL ___
Annual Dues $25
Club Theme Song CD & Medallion included
monogrammed shirts $27.50 ea.
Optional
Monogrammed Jacket $52.50
Walkie Talkies $45
This club is a bit different than most clubs,
We have a limited membership of 25 and it’s for folks who love driving these old cars. So if would rather snooze than cruise this is not for you.
For more information Call Kent Thall Cruisin’ Couples President 352-255-2232
Make Check Payable to Cruisin’ Couples
1340 Spring Lake Rd.
Fruitland Park Fl. 34731