:::~ Cal-Rods ~:::


Prerequisites to becoming a Member: Any person that promotes the enjoyment, restoration and preservation of street rods, classic cars and social interaction may apply for membership in the Cal-Rods. Applications are to be completed and presented in person at a monthly Cal-Rods Meeting (Exception for those residing more than 100 miles outside the San Gabriel Valley) to the membership Chair-Person/Treasurer, along with a $40.00 new membership fee. Signatures of two current members who recommend you must accompany your application. User name and password must have at least 6 Characters.
	Fields ( * = Mandatory ) * Images must be in JPG, JPEG or GIF format. * Images can not be more than 2 MB in size.
Primary Member First Name:*
Primary Member Last Name:*
	(can be used as husband & wife jointly ie, Don & Pat Scurti)
Address:*
City / State / Zip:*	/ /
Primary Email Address:*
Primary Phone:*
Primary Cell:
Picture of Primary Member:
	(Can be used as a combined husband & wife or single member)

Secondary Member First Name:
Secondary Member Last Name:
Secondary Member Cell:
Secondary Member Email:
Fax:
Picture of Secondary Member:

	Primary Car Info
Picture of Car:
Year:
Make:
Model:
Description: (Approx 500 Characters)

	Secondary Car Info
Picture of Car:
Year:
Make:
Model:
Description: (Approx 500 Characters)

Username:*
Password:*
Confirm Password:

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