“CIMARRON STARLITE CRUISERS’ CAR CLUB”
MEMBERSHIP APPLICATION
(Please Print)
Member Name Last First Middle Initial Date of Birth
Spouse Name Last First Middle Initial Anniversary
Mailing Address City State Zip
Home Phone number Cell Phone number
Email Address
How did you learn about the Cimarron Starlite Cruisers’ Car Club? And what are your reasons for joining?
(Social events, Car Shows, Technical Information, Meeting and Gaining New Friendships, etc.)
______
DESCRIBE YOUR CAR OR TRUCK (S)
Year Make & Body Style Engine Transmission Color
Year Make & Body Style Engine Transmission Color
Year Make & Body Style Engine Transmission Color
Year Make & Body Style Engine Transmission Color
Signature Date
MEMBERSHIP DUES: $25.00 Per Year Due April 1
MAIL TO: Cimarron Starlite Cruisers, PO Box 362, Perkins, OK 74059