CASCADE COUGAR CLUB MEMBERSHIP APPLICATION

Cascade Cougar Club

 PO Box 1975

Milton, WA 98354

Att: Membership

Cascade Cougar Club membership rates are pro-rated depending on which month you join or renew, with all memberships ending on December 31st.

1 year membership joining or renewing during the month of:

2 year membership joining or renewing during the month of:

New Membership
Membership Renewal
Address, Phone, Email Changes

Name:

Street Address:

City:

State/Province:

Country: 

Zip Code: Phone:

E-Mail:

Birthday (MM/DD)

Cougars and/or other classic cars you own:



Other car clubs to which you belong:

Comments and/or suggestions for the CCC Board of Directors:

I understand I am responsible for my own car insurance

Date Paid Amount Paid

Click here to clear the form:

Please print your form, optionally one for copy for yourself, mail in with your check

 

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