Valley Cruisers Car Club

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Registration

Valley Cruisers Car Club 
P.O. Box 1184, Gardnerville, NV 89410 


Membership Renewal Form 

Please complete this form and return with your $15 registration fee by January 31st to:

P.O. Box 1184, Gardnerville, NV 89410 

Memberʼs Name:____________________Birthday_______________
Spouse_______________________Birthday___________________
 
Other family members in household: 

Name____________________Relationship_________________B-day_______________
Name____________________Relationship_________________B-day_______________

Mailing Address**______________________________________________________________

Residence Address ______________________________________________________________ _______________________________________________________________________________ 

City, State & Zip _______________________________________________________________ 

Home Phone:___________________________ Business ________________________________ 
Cell Phone ____________________________________________________________ 

EMAIL Address: _______________________________________________________________ 
**Please fill in Residence Address if different than mailing address 

CLASSIC CARS CURRENTLY OWNED 

YEAR                     MAKE                       MODEL                       COLOR _____________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________
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