Route 66 Cruisers Car Club

Please complete form and mail with your $15 check to: Route 66 Cruisers,  Kaye Meacham

2550 Highwood Drive Claremore, Ok. 74017. Thank you for renewing your membership dues promptly.

Name_______________________________________________________________

Address______________________________________________________________

City____________________________________________State_________________

Phone_____________Cell_________________Email__________________________

Year and Make of Car___________________________________________________

Original or Custom_____________________________________________________

Please check one: New Member ___________________Renewal________________

Annual Dues for Car Club Membership is $15 a year, dues cover the 2008 calendar year

and are due by January 1, 2008.

Dues Enclosed: $______________________make checks payable to: Route 66 Cruisers

Cut here for your receipt to keep for your records

Route 66 Cruisers Car Club

Paid Membership Dues $_______________Date_____________________

Name__________________________________________________