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Chicago Heights South Side Cruisers Car Club
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Date
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Name
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First
Last
Spouse
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First
Last
Address
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Line 1
Line 2
City
State
Zip Code
Country
Home Phone Number
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Email
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Date of Birth
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Emergency Contact Information
Name
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First
Last
Address
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Line 1
Line 2
City
State
Zip Code
Country
Phone Number
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Relationship
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Ownership of at least one show vehicle is required for membership. Please list and classify each vehicle that you own. List the number of show cars in the spaces below.
FIRST SHOW CAR
Class
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Original
Modified
Street Rod
Year
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Make
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Model
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SECOND SHOW CAR
Class
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Original
Modified
Street Rod
Year
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Make
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Model
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Are you presently a member of any other auto club?
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Yes
No
If you are in another club, what is the name of the club?
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I understand that if I am accepted into the Chicago Heights South Side Cruisers Car Club, I will follow the by-laws of the club including the minimum number of meetings that I will be required to attend each year; and the club shows which I must attend and participate. If I decide to leave the Club or am asked to leave, I agree not to wear any apparel wherein the logo appears. The annual fee is nonrefundable.
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Agree
I Do Not Agree
Signiture
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Date
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Upload Your Application
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Max file size: 20MB
Annual Membership Fee is $30 a Year
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