Membership Application

Primary Member Information: (Required)

Secondary Member Information:

Local Address: (Required)

Florida Address:
Florida Address:
City
State/Province
Zip/Postal

Northern Address:

Northern Address:
Northern Address:
City
State/Province
Zip/Postal

Cool Cruisers Vehicle Registry:

Vehicle 1:

Vehicle 2:

Vehicle 3:

Vehicle 4:

Vehicle 5:

Vehicle 6:

Vehicle 7:

Vehicle 8:

Vehicle 9:

Vehicle 10:

Vehicle 11:

Vehicle 12:

Vehicle 13:

Vehicle 14:

Vehicle 15:

Please send a 'head and shoulders photo' of members (couples taken together where applicable) to ccoswfwebmgr@gmail.com with a 3/4 front view photo of each of your cars for posting on our website. If you want a "professional" to shoot your photos join us at one of our Cruise-ins (no cost for website picture).

By submitting this form, you acknowledge that you have read and agree to abide by the Cool Cruisers Constitution.

Member Dues (select one):