First Name   *

Last Name

Club  Vest  size   $35 .00

Vest  Embroidery  $45.00
                                                                      
Automobile logo $30.00:

Address

City: 

Zip Code:

Telephone:  

YearMakeModel:
 
Emaill Address: 



  I agree to the keys of cooperation  provided  and by submitting this  application,I agree that all the information provided was true and correct to my knowledge.






Please note that there is a 90 day probationary period for all new applicants , in which you will recieve your logos and Vest, If you decide that you no longer interested in being a member of the club,Your money for the vest not logos are fully refundable.















 



 




 







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CONTACT US :877-DA-LADYS
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