ROD AND WHEELERS
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New member applicants must be sponsored by an active club member. Membership application form is available from your sponsor (sample shown below). It must be filled out and signed. Your club sponsor will coordinate the membership process.
​Rod and Wheelers Car Club
www.rodandwheelers.net
 
Membership Application
 
Name: _____________________________________________ Spouse name: __________________________
City _____________________________________ State _______________________________________________
Phone __________________________________ Email ______________________________________________
 
Vehicle(s):
Year ___________Make ______________________________Model __________________________________
Year ___________Make ______________________________Model __________________________________
 
Membership Sponsor: ______________________________________________________________________
 
Membership Requirement:
              > Automobile liability insurance covering car(s) above.
              > NSRA vehicle safety inspection (club inspectors available)
            > Participate in club activities.
            > Volunteer to support club functions if needed.
            > Abide by all club guidelines.
 
Membership includes: All club activities, newsletter, club e-mail distribution announcing up coming events and auto related information. Access to club web site, club merchandize for purchase, full calendar of local events, preferred supplier recommendations, club technical advisors and free NSRA safety inspections.
 
Other club affiliations: ______________________________________________________________________
 
I hereby agree to abide by all club guidelines. I understand minimum insurance coverage required by California State law must be met. I release the Rod and Wheelers club and its members of any and all liabilities for any damages or losses, known or unknown.
 
Print Name ______________________________________________ Date _____________________________
 
Signature ____________________________________________________________________________________
 
Return completed application to your Membership Sponsor.
 
(It’s recommended that prior to acceptance in the club, applicants attend the clubs Thursday night get-together and or the Tuesday morning “gentleman’s breakfast.)