Your Full Name:
Your E-Mail:
City:
State:
Which member status are you applying for?
Full Member - in state (no fees)
Full Member - out of state (no fees)
Associate Member ($3.50 includes club sticker)
Re-applying for membership (your information may already be on file)
How did you hear about us?
Club Member
Club Card
Internet Search
Other
If "other" please specify:
What type of car do you have?
Volkswagen (Beetle, Bus, etc.)
Kit Car
Dune Buggy
 
Additional Comments: