2025 Club Membership Form

Club Membership Form

Please Fill Out form if you intend to participate in Club Meeting Activity or Race for Points. Membership is valid January 1 – December 31 of current year. Any dues paid after the December Club meeting through the end of the year will be vaild for the Next Calendar Year.

Name

First Last

Address

Street City State Zip

Phone

Club Membership Dues (Required)

Price: $20.00

Club Membership is valid from January 1-December 31 of each year. Membership is not active until $20 dues have been received per member.

Total

Do you wish to pay online?(Required)

Payment Method

American Express

Discover

MasterCard

Visa

Maestro

Card Number Expiration Date Security Code Cardholder Name

Club Membership Form

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