New Member Consideration Form
Please complete if you would like to be considered for membership
Name:
*
First Name
Last Name
E-mail:
*
Contact Phone#
*
-
Area Code
Phone Number
BirthDay Month/Day
Address
*
Street Address
Street Address Line 2
City
State
Zip Code
Why do you want to join the "Rakers" and what would you contribute ?
*
I am interested in … (you may select more than one)
Car Shows
Community Events
"Car Stuff" Skills Mentoring
Club Volunteering
Club Committes
Car Information
Car Make:
*
Car Year and Model:
*
Modifications / Setup:
*
Please attach 5 .jpg pics of your car, Front - Side - Rear- Engine - Interior
*
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