UK CRUISERS NEW MEMBER REGISTRATION
 
Please complete the form below and click on the SUBMIT button.
 
You will be redirected to make a payment by PayPal.
 
If you wish to pay by cheque or postal order, please return to the membership page and select the Postal option.
 
Thank you.


Membership details (*required fields)
Name*:
Address*:
Post Code*:
Telephone*:
email*:
Forum Name:
(if registered)
 
About your PT (Optional, but useful, information to help us run the club)
Year:
Reg Number:
Model:
Colour:
 
How did you find out about UK Cruisers? (Please select one)
From an internet search
From your Chrysler Dealer
At an event / meeting
From an existing member
Received a "You've been spotted" Card
In Chrysler Freedom Magazine
Other - please state below
 
Please add any additional information here
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Copyright UK Cruisers 2008