Wheels of Thunder
Membership Application
Sponsor Name __________________________________________________________
Applicant's Name
________________________________________________________
Name of Spouse _________________________________________________________
Address _______________________________________________________________
City _____________________________ State ________
Zipcode _______________
Telephone No. ____________________ Cell Phone No.
________________________
E-Mail Address _________________________________________________________
Date o fBirth ___________________________________
Automobile Info:
Make: _____________________________________________________
Model _____________________________________________________
Year ______________________________________________________
Emergency Contact Information:
Name: ______________________________________________
Relationship __________________________________________
Telephone No. ________________________________________
Signature ____________________________________________ Date
________________
Please return application with $25.00 annual Membership Fee to:
Wheels of Thunder
PO Box 653
Bridgeton, NJ 08302