Application

<><><><><><><><><><><><><><><><>
   
 

Becoming a Member

If you would like to join "Cascade Cobras", please E-Mail our President, Don Newman, at [email protected], or simply print out the application form below, complete it, and send it to the address at the bottom of the form.  Your active participation will help make the club great!  Owning a Cobra is not required and all are invited to join.

 
 

 

 

CASCADE COBRAS

www.cascadecobras.com

 

MEMBERSHIP APPLICATION FORM

 

    [   ] NEW MEMBER                             [   ] RENEWAL

 

NAME: ________________________________________ BIRTHDAY: (year optional) _________________________________


ADDRESS:______________________________________ CITY/STATE/ZIP:_____________________________

 

HOME PHONE: __________________________________ MOBILE PHONE (for runs):____________________________

 

E-MAIL ADDRESS: __________________________________________________________________________

 

SPOUSE Including Birthday, (year optional): ____________________________________________________________________

 

CHILDREN Including Birthdays: ________________________________________________________________

 

I give permission for Cascade Cobras to publish my information in the club directory (available to club members only)?     Y     N

 

Car Project: Make _______________ Body Style ____________

Engine _________________ Suspension: ________________

Color: ______________________________

Completion Status: ____________________

 

Purpose of the Club:

The general purpose of the Club shall be to encourage ownership, operation and enjoyment of Cobra® automobiles, original or replica, (and their derivatives) to provide service to others, and to encourage careful and lawful driving on public roads.

 

Signed: _____________________________ Date: __________________

 

MY INTERESTS ARE:          

[   ] RACING/COMPETITION           

[   ] COMMITTEES (CIRCLE ALL THAT APPLY)   EVENTS  NEWSLETTER   BUDGET   BYLAWS   WEB DESIGN                             

[   ] CAR SHOWS                

[   ] CLUB CRUISES                                                                            

[   ] SOCIAL

[   ] COMMITTEES                                       

[   ] OTHER (Specify)________________________________

 

CURRENT ANNUAL MEMBERSHIP DUES ARE $35.00.   

 

MAKE CHECK PAYABLE TO:    CASCADE COBRAS

 

Mail to:

CASCADE COBRAS

P.O. Box 2893

Wilsonville, OR 97070-2893