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Gotham City Land Cruisers Membership Application
First Name:

 

Membership is only $40/year.

You can apply for membership two ways, online or by mail.

To apply ONLINE, do the following:

  1. Fill out this form and click the SUBMIT button.

  2. Click on the PayPal button and submit your payment.

  3. That's it!

To apply by MAIL, do the following:

Please print this page, fill it out and mail it, along with your check to:

Mark Woytovich
GCLC Membership Director
125 Ketay Drive South
East Northport, NY 11731

CHECKS should be made payable to:

Gotham City Land Cruisers


All members will receive a free t-shirt.

 

Last Name:

Address 1:
Address 2:
City:
State:
Zip Code:
Country:
Home Phone:
Work Phone:
E-mail:
Please confirm your e-mail:
TLCA Membership #:
Emergency Contact Name:
Emergency Contact Phone:

T-Shirt Size:

VEHICLE 1:

Make:

 

Model:

VEHICLE 2:

Make:

 

Model:

Plate #:
Year:
Plate #:
Year:
Comments:

Select your payment method:

CLICK "send" TO SUBMIT YOUR APPLICATION

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Quesions/Comments?web@gclcny.com
 
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