You can either print this page or save a PDF or WORD file to your computer. To save the PDF or WORD file, right Click the file name and "Save As" to your computer.
CCC MEMBERSHIP FORM
(Please complete the entire form)
Social Member
Membership includes 1 or 2 adults and children less than 18 years of age living in the same household.
Name ______________________________________________ Birthday ________________________
Address _______________________________________ City ____________________________
State ______________ Zip Code ________________ Phone # _______________________________
E-mail_________________________________________________________________________________
Members Only Web Pages Access information (only if new or changing): Note: User Name and password are case sensitive and must be a minimum of 4 characters each. User Name________________ Password _____________.
Spouse ____________________________________________ Birthday ____________________________
Anniversary ___________________________________________________________________________
Child under 18 Birthday _____________________________
Child under 18 Birthday _____________________________
Child under 18 Birthday _____________________________
Check here for RENEWAL ONLY _______ (Please complete the entire form)
General (per year) Membership runs January 1 – December 31 (1/2 price after July 1st.)
New Membership = $20.00 _____ Renewal by January 15th = $20.00 _____ Renewal by December 31st = $15.00 _______
Signature ___________________________________________ Date ___________________________
Make checks payable to: CLASSY CRUISERS CLUB and mail to:
CLASSY CRUISERS CLUB
Membership Enclosed
PO BOX 3122
BETHLEHEM PA 18017
Note: All New members/memberships must be pre-approved by a majority vote at the next monthly meeting after receiving application.
Optional Information on back side:
--------------------------------------------------------------------------------------------------------------
Home - Newsletter - Events - Links - Contact Us
Car Show - Cruise Night - Camelot for Children
Cartridge and Cell phone recycling - Membership Forms
In The News: Newspaper and other printed articles