MCCC Join Form

Please read the mission statement, rules, and entitlements for the Midwest Cruisers Car Club before completing this form.

To become a member of the Midwest Cruisers Car Club, please complete the join form below. Your information will be sent to the club secretary for review. You will receive an email from the club secretary regarding the status of your membership a few days after submitting the form.

Full Name: 

Spouse’s Name: 
(If Applicable) 

Address: 
 

City: 

State: 

Zip: 

Email Address: 

Tell Us About Your Car: 
(Year, Make, Model, Color)