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Cornwall Olde Car Club

13458

JOIN US

Please fill in our printable FORM and mail it to COCC

Cornwall Olde Car Club
Membership Form
Fields marked with a *are required.
Name: *
Spouse:
Address: *
City: *
Province: *
Postal Code: *
Email:
Phone: *
Fax:
Other Information (for newsletter)
Birthday:
Spouse's Birthday:
Anniversary:
YEAR MAKE (e.g. Ford) MODEL (e.g. Mustang) BODY STYLE
  I am available to help out on Cruise Nights
  I am available to help out with the Shakedown Cruise
  I am available to help out with the Car Show
I agree to comply with the Bylaws, Rules and Constitution of the Cornwall Olde Car Club

Please check information before printing form. If changes are required re-submit correct information.
Thank You