EmailMeForm
Membership for the FREEWHEELERS 2025
Welcome to the Online Registration form for
New Members or Renewing Members
of The Freewheelers Car Club for 2025
All Fields with Orange Asterisks must be filled in
(or the form will not be transmitted to the Club).
Membership is for the CALENDAR YEAR January 1 through December 31, 2025
For new members on or after October 1, 2024, the membership will include 2025 at no cost
Membership rates are $48.00 per year for those receiving the Flyer and Roster digitally.
In an effort to keep costs down, we only have digital memberships
Digital Membership
Digital
New or Renewing
Member
*
New
Renew
Member Name
*
First
Last
Email Member
*
Correspondence (notices, electronic Flyer, etc ) will be sent to this address
Occupation (optional)
Partner/Spouse
First
Last
Email-Partner/Spouse
Occupation (optional)
Street Address
*
Street Address 2
City
*
State
*
zip code
*
(5 digit only)
Primary Phone
*
###
-
###
-
####
Alternate Phone
###
-
###
-
####
If you are a renewing member, when did you first become a member? Use your best guess for month and year if unsure. MM/YYYY
Date
If you are a new member, how did you hear about the Freewheelers?
Referral
Do you have any training/skills/talents that you might want to use to benefit the club?
Skills
Cars
Please list your vehicles below. There are spaces for 10 vehicles. If you want to list more, please list on a separate sheet and mail to The Freewheelers c/o Jay Remick, 1588 Willow Oaks Dr, San Jose, CA 95125-4452
If your cars are the same or you have just added or deleted one or two, skip to the comments section and note the information
1. Year
Make
Model
Body Style
2. Year
Make
Model
Body Style
3. Year
Make
Model
Body Style
4. Year
Make
Model
Body Style
5. Year
Make
Model
Body Style
6. Year
Make
Model
Body Style
7. Year
Make
Model
Body Style
8. Year
Make
Model
Body Style
9. Year
Make
Model
Body Style
10. Year
Make
Model
Body Style
Freewheeler Car Club Policy
By checking 'AGREE' below you agree that all vehicles driven at Club events have liability and property damage insurance. Proof of Insurance must be supplied upon request. The Club assumes no liability for accidents occurring in connection with Club events and/or activities. Applications are subject to approval by the Board of Directors.
Agree
*
AGREE
Check this box to agree to the Freewheeler policy above
Comments:
Any comments, please put here.
INSTRUCTIONS
After you complete this form click on the Submit button below and the following will occur:
1. You will receive a copy of your membership form by return email. A copy will be sent to us which is your membership application or renewal.
2. You will automatically be sent to our Payment page. If you have a PayPal account or want to use a credit card or debit card, you may pay using this PayPal link. You do not have to have a PayPal account to pay at their site using a credit card.
3. Any questions please email freewheelerevents@gmail.com
Total
$0.00
