Application for the Highway Legends Car Club:

To become a member, simply complete the following form.

First Name:  Middle Name/Initial:  Last Name: 

Address:        Address2: 

City:        State:        Zip: 

E-mail address: 

Home phone:        Cell phone:  (Please indicate area codes)

Description of my ride: 

(If you have more than one special ride, please describe the others in the comment box at the end)


Each member will have a picture of their vehicle displayed on the website homepage and on the member page.   In addition, members have the option of having a page on this website devoted to their ride, where they can show several pictures and tell about their vehicle, if they wish.

I       would-       would not-       like a web page devoted to my vehicle(s)     <--- please choose one


If you already have a website where your vehicle(s) can be seen, please let us know where it is:

(Please indicate website, Facebook, Myspace, etc ... if more space is needed, use comment box)


Comments: 


You may submit up to four pictures of your vehicle on this form.  These should be in either .jpg or .gif format, please.  If you would like to submit additional photos, please complete the Car Info Submission Form.

Image 1:

Image 2:

Image 3:

Image 4:


Please note that submission of this form gives Highway Legends implied consent to post the pictures and any other information provided on its website.


As a security measure, please enter the characters displayed here in the box provided.

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2009
 

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