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
Thank You for your Suppport
Email: Route66kicks@mac.com