Nostalgia Gassers Racing AssociationNostalgia Gassers Racing Association 7252 East 2900 Kewanee, IL...
Transcript of Nostalgia Gassers Racing AssociationNostalgia Gassers Racing Association 7252 East 2900 Kewanee, IL...
Nostalgia Gassers Racing AssociationMembership Application
You do not need to own a Gasser in order to be eligible for membership. For complete details on membership benefits please refer to our association website at www.nostalgiagassers.com.
Date: ____________
Name: _____________________________ Nickname:_______________________
Address: ___________________________________________________________
Email: _____________________________________________________________
Primary Phone: ( ) _______________ Alt. Phone: ( )_________________
Car/Driver: $60 yearly Associate Membership: $25 yearly
Amount Enclosed: ( ) $60 ( ) $25
If you wish to register and run a Gasser with our group, please visit the website, download and complete our Gasser Qualification Tech Form.
Please mail your competed membership application to: Nostalgia Gassers Racing Association7252 East 2900Kewanee, IL 61443
Rev 01/2016