Join

Canadian Route 66 Association

Membership Application

Yearly Dues: Canadian and US $35 per year. Due January 1st of each year

Please circle choice below:

New Member            Renewal               Address Change


Name:  ___________________________________________  Member Number:  ________

Address:  _______________________________________________________________

                   _______________________________________________________________

City:  ____________________________________  Province/State:  __________________

Postal/Zip Code:  __________________  Telephone:  (               ) ________________________

Email:  _________________________________________________________________


Print out and Send completed application form to:

Canadian Route 66 Association

1204 - 6689 Willingdon Ave

Burnaby, BC  V5H 3Y8

Canada

or

Canadian Route 66 Association

1685 H Street, PMB 1162

Blaine, WA 98230

USA

Thank You for your Suppport

Email: Route66kicks@mac.com