MembershipForm

SPORTS CAR CLUB OF ROCKFORD

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Member Information Submission

Please use this form to submit your membership information or corrections to the Registrar - Please be aware that paying dues is a separate step from submitting your information.

* Indicates required field

Name *

First

Last

Email *

Sharing your email puts you on our mailing list and keeps you informed of upcoming events and club happenings.

Address *

Line 1

Line 2

City

State

Zip Code

Country

Home Phone *

Cell Phone *

New Members - How did you hear about us? *

Cars owned *

List Make, Model, and Competition Class if known.

Past Motorsports History *

Parking Lot Autocross High Speed Autocross Wheel to Wheel Racing Car Shows Rally Other

Explain experience if Other *

What areas are you interested in? *

Parking Lot Autocross Participant Parking Lot Autocross Volunteer High Speed Autocross Participant High Speed Autocross Volunteer Wheel to Wheel Participant Wheel to Wheel Volunteer SCCR Club Social Events Serving on a committee Other

Explain interest if other *

Request Type (choose one) *

New Membership Renewal Information Correction

Payment options *

Not required - just an update I will pay on line by credit card - visit the "Join" page to do this. I will mail in payment by check or money order

Note to the Registrar *

Annual dues are $50 dollars. If you pay on line there will be a two dollar convenience fee. If you are mailing payment please send it to:

Lisa Rehberg c/o SCCR
1716 Delroy Ave.
Rockford, IL 61109

Submit

We would love to have you join us!

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Home
How to...
Events / Results
- Prior Year Results >
Gallery
Blog
Join
About
Live Timing