High Desert Cruisers
Prospective Member Application
Name:___________________________________________________
Address:_________________________________________________
_________________________________________________
_________________________________________________
Email: _____________________
Phone: (H)_____________________ (W)_____________________
Birthdate (m/d/y): _________________ TLCA #: ______________
(Required, HDC members must also be TLCA
members)
Vehicle Information
Make:______________________________ Year:____________
Model:__________________________________________________
Insurance Information
Policy Holder:_______________________________
Policy Number:______________________________
I have read the by-laws of the High Desert Cruisers and agree to abide
by them.
Signed:________________________________
Date:___________________
Membership dues are $20
and due January 1st.
Dues after July 1st are $10.
Mail application and dues to:
Jon M. Stewart
8020 Dark Mesa Ave N.W.
Albuquerque, NM 87120
If writing a check
for dues, please make
it payable to Jon M. Stewart.
For
more information,
contact:
Treasurer: Jon M.
Stewart
President: Shawn
Williams
(505)
896-9635