Any person of good character interested in Street Rodding Activities is
eligible for membership. The initiation fee is a one time fee of $15.00 + $40.00
annual dues re-newable by February 1st of each year.
Name
Birthday
Hm Phone
Address
City
State Zipcode
E-mail
Address Cell
Phone
Place of Business
Occupation Wk Phone
An Associate Member is a spouse/significant other or child
(13-18) living in the home of the full member. It is not required a spouse be an
associate to participate in any Vintiques functions, however, it is required for him/her to
have the right to vote or to be eligible to hold office on the Board of Directors.
The annual dues are $20.00 per Associate due by February 1st
of each year with no initiation fee.
Spouse/Other
Associateno
yes
E-mail Address
Birthday
Anniversary
Spouse's Business
Occupation
Wk Phone
List your children under 21 living at home
Child 1 Birthday
Associate
no
yes
Child 2 Birthday
Associate
no
yes
Child 3 Birthday
Associate
no
yes
Child 4 Birthday
Associate
no
yes
List your Street Rods or Classic Cars
Car #1 Year Make
Model
Complete
%
Is car #1 Streetable,
Used for Rod Runs, Used
for Parades, Used for Car
Shows, Used for
Car #2 Year Make
Model
Complete
%
Is car #2 Streetable,
Used for Rod Runs, Used
for Parades, Used for Car
Shows, Used for
Car #3 Year Make
Model
Complete
%
Is car #3 Streetable,
Used for Rod Runs, Used
for Parades, Used for Car
Shows, Used for
Car #4 Year Make
Model
Complete
%
Is car #4 Streetable,
Used for Rod Runs, Used
for Parades, Used for Car
Shows, Used for
Who told you about the Vintiques?
Reason for wanting to join the Vintiques
Other Clubs of Affiliations
Hobbies or other Interests
Please print out the completed form and mail with your
dues to:
Vintiques of Yakima
5107 N Sky Vista Ave
Yakima, WA 98901
As soon as this membership form has been processed you will
begin to receive our monthly newsletter (around the first of each month) if you don't
within a reasonable amount of time please contact us.
