ONLINE APPLICATION

Title of the document
YES! I would like to join INLINERS INTERNATIONAL
(NOTE: information provided will be included in Club's annual roster unless otherwise instructed)

NEW MEMBER FORMER MEMBER
Dues are non-refundable
Applicants are asked to complete the following information. Starred items(*) are required.
After completing this form, click ‘Submit’. A copy of this application will be emailed to you. Or you can also print this form and mail it to the address below.

Member Information:
Spouse/Partner Information:
Mailing Address:
Phones(s) (All listed phone numbers will be published in the Club's Roster):
* EMail:
PRIMARY Automative Interest(s) (check up to 3):
Cruising
Customs
Chapter Meeting
Drag Racing
Speed Racing
Street Rods
Swap Meets
Oval Track
Other
*INLINE* Vehicle(s):
Year Make/Model Engine
How did you hear about us?
Website
Swap Meet
Car Show
FaceBook
Advertisement (who)

Other Sources, please specify
Member:

All new/returning members receive decals, a membership card, and the club's by-monthly magazine The 12 Port News. Members are entitled to free classified advertising, access to member-only website features, and participation in all club and chapter events.
HAVING AN INLINE ENGINE IS NOT A REQUIREMENT FOR MEMBERSHIP
Subscription Type 1 Year 2 Year 3 Year 4 Year 5 Year
US-Basic $32 $62 $90 $116 $140
US-w/Roster $38 $74 $108 $140 $170
US-1st Class- Basic $44 $86 $126 $164 $200
US-1st Class-- w/Roaster $50 $98 $144 $188 $230
Please remit international dues in U.S. funds only, please
Intl-Basic $42 $82 $120 $156 $190
intl-w/Roster $48 $94 $138 $180 $220

Return Check - Money Order payment to:

Linda Henry
Membership Chair
6558 Red Hill Road
Boulder, CO 80302-3400
Phone: (303) 443-8185
E-mail: inliners.member@gmail.com

If you are paying by check, please print the completed application now. Click here to print.