Whips & Wheels Driving Club Membership Application
Membership
will run from January 1st through December 31st.
Family
Membership 2 or more people, (voting privileges for those 18 years or older).
Single Membership 1 person only $15.00
NEW
Memberships joining AFTER June 30th will be prorated at
$12.00 (Family) $7.50
(Single) for the remainder of the year and any one joining or renewing a current
membership after November 1st is good for the following year. Dues are due the first of January each
year.
Please
print out form below & fill out then:
Make Checks payable to: Whips & Wheels Driving Club or WWDC
Mail form & Check to: Pat Granzyk 6988
Lanvale Ct. Clemmons, NC 27012
___ Family Membership full year $25.00 (Family
Membership 2 or more people)
___ Single Membership full year $15.00 (1 person)
___ New Membership After June 30th 1/2 year $12.00 Family
$7.50 Single
___ New & Renewing current Memberships AFTER November 1st run through
the following year
Total $ Enclosed $ ___________ Please provide the following contact
information:
| First Name |
___________________________________ |
| Last Name |
___________________________________ |
| Farm Name |
___________________________________ |
| Street Address |
___________________________________ |
| City |
___________________________________ |
| State/Province |
___________________________________ |
| Zip/Postal Code |
___________________________________ |
| Home Phone |
___________________________________ |
| Work Phone |
___________________________________ |
| E-mail |
___________________________________ |
| URL |
___________________________________ |
| 
