VALLEY CRUISERS CAR CLUB
P.O. Box 4615
Rothesay, NB
E2E 5X3
Membership Application
Year ______________
Annual Dues : $25.00
Name: __________________________ Mate’s Name: __________________________
Street: ______________________________________________
City: ________________________________________________
Postal Code: _________________________________________
Telephone: Home ____________________________
Work ____________________________
Cell ____________________________
Email: ________________________________________________
Web Address: www.valleycruisersnb.ca
Vehicles Year Make Model
- ___________________________________________________________________
- ___________________________________________________________________
- ___________________________________________________________________
- ___________________________________________________________________
- ___________________________________________________________________
