Membership for the FREEWHEELERS 2021
Welcome to the Online Registration form for
New Members or Renewing Members
of The Freewheelers Car Club for 2021

All Fields with Orange Asterisks must be filled in
(or the form will not be transmitted to the Club).

Membership is for the CALENDAR YEAR January 1 through December 31, 2021

For new members on or after October 1, 2020 the membership will include 2021 at no cost

Membership rates will remain at $35.00 per year for those receiving the Flyer and Roster digitally.
  • Correspondence (notices, electronic Flyer, etc ) will be sent to this address
  • (5 digit only)
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  • If you are a renewing member, when did you first become a member? Use your best guess for month and year if unsure. MM/YYYY
  • If you are a new member, how did you hear about the Freewheelers?
  • Do you have any training/skills/talents that you might want to use to benefit the club?
  • Cars

    Please list your vehicles below. There are spaces for 10 vehicles. If you want to list more, please list on a separate sheet and mail to The Freewheelers c/o Jay Remick, 1588 Willow Oaks Dr, San Jose, CA 95125-4452

    If your cars are the same or you have just added or deleted one or two, skip to the comments section and note the information
  • Freewheeler Car Club Policy

    By checking 'AGREE' below you agree that all vehicles driven at Club events have liability and property damage insurance. Proof of Insurance must be supplied upon request. The Club assumes no liability for accidents occurring in connection with Club events and/or activities. Applications are subject to approval by the Board of Directors.
  • Check this box to agree to the Freewheeler policy above
  • Comments:

  • Any comments, please put here.
  • INSTRUCTIONS

    After you complete this form click on the Submit button below and the following will occur:
    1. You will receive a copy of your membership form by return email. A copy will be sent to us which is your membership application or renewal.
    2. You will automatically be sent to our Payment page. If you have a PayPal account or want to use a credit card or debit card, you may pay using this PayPal link. You do not have to have a PayPal account to pay at their site using a credit card.
    3. Any questions please email freewheelers@thefreewheelers.net