Cascade Two Cylinder Club Membership Form
Mail $10.00 in U.S. funds to :
Tom Jensen, 202 Rainbow Drive, Burlington, WA 98233

Name :_________________________________________________________________
Address:________________________________________________________________
City: _____________________ State/Province: ___________ Zip/Postal Code:_________
Phone:(____) _____ - ___________ E-mail address:_____________________________
Which tractors do you wish listed on the club directory? (hard copy)
Do you want your tractors listed on the web page?

You can also join/renew online at www.c2cc.org using any major credit card (Visa, Mastercard, Discover, or Am. Express)