Sign up and pay for membership here Please enable JavaScript in your browser to complete this form.Date *Account/Customer InformationPrimary Contact Person *FirstLastPrimary's Birthday - Only enter day & monthCar # 1 Year, Make and ModelCar # 2 Year, Make and ModelCar # 3 Year, Make and ModelCar Club AffiliationEmail *Cell Phone Number *Street Address *Address Line 1CityState / Province / RegionPostal CodePlease list additional Family Members here with Name, Birthdate, Cell phone # and EmailCURRENT Cruzer Members Order here Please tick the desired itemsPrimary Membership - $30.001st Family Member - $5.002nd Family Member - $5.003rd Family Member - $5.004th Family Member - $5.00NEW Members Order here (April thru Sept)Please tick the desired itemsPrimary Membership - $15.001st Family Member - $5.002nd Family Member - $5.003rd Family Member - $5.004th Family Member - $5.00Total Amount $0.00Stripe Credit Card *CardName on CardAre you willing to... Please check all that applyHelp Organize FunctionsHold an OfficeServe on the Board or CommitteesPlease list any special talents you have that may be of interest to the club, i.e. Graphic arts, computer, Vendors, DJ, Machine Shop, Special Business, Restoration Skills, etc.The above requested information is voluntary and is used exclusively by club officers to maintain their pledge to provide the most useful help possible to our members. All information listed on this page will be held in strictest confidence and is for the use of the club officers only. No information will be shared with any other organization or business. Confirmation *I acknowledge that upon submitting this form, my orders are final and can no longer be canceledSubmit