Sierra PT Cruiser Club New Member Registration Form

No November or December Meetings. Next meeting January 28th, 2010
Your Name:
City
E-mail:(If none please put none or no computer)
Primary Phone:	-- Please select -- Cell Home Work
Secondary Phone:	-- Please select -- Cell Home Work
PT Year:
PT Color:(Electric Blue, Inferno Red, etc.)
PT Special Designation:(GT, Convertible, Turbo, etc.)
PT Custom Addons:
Interest:	Short Cruises Day Long Cruises Enter Show 'n Shines Enter Car Shows View Car Shows Monthly Meeting Poker Runs Parades Other(Use comment area below)
Comments:
Security test. Please identify the pictures: Click to identify Apple Cat Clock Dog Flower Fork Hammer Key Ship Tree Click to identify Apple Cat Clock Dog Flower Fork Hammer Key Ship Tree Click to identify Apple Cat Clock Dog Flower Fork Hammer Key Ship Tree