Hub City Cruisers Membership/Renewal Application

Name_______________________________________________________

Volunteer? Yes__ No __

Address_____________________________________________________________________________

City, State, Zip _____________________________________________________________________

Phone_______________________________ Email _______________________________________

Current Rides

Year _____Make/Model__________________ Year_____Make/Model ____________________

Year _____Make/Model__________________ Year_____Make/Model_____________________

Membership Dues Are $20 Annually.

Make Checks Payable To: Hub City Cruisers.

Mail Application & Check To: Hub City Cruisers

C/O Loren Edwards

7333 E. Grist Mill Rd., Chana, IL 61015

Web Site: www.hubcitycruisers.com

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