We're excited to have you be a part of the Junky Car Club. You're membership is TOTALLY FREE but we do need to get some information from you to make you an official member. Please answer the following questions.

GENERAL INFORMATION
first name: *
last name: *
e-mail: *
gender:
male female
age:
state: *
CAR INFORMATION
year of car: *
make and model: *
odometer(approx. miles): *
GIVING PLAN
A. I plan to support social justice/humanitarian causes this year by giving
(Approximate yearly amount given to child sponsorships, donations to local needs, shelters, and charitable giving to relief organizations)

B. I plan to volunteer this year at a social justice/ humanitarian cause hours.
(Approximate hours you will volunteer at service projects, mission trips, relief efforts, or serving at a non-profit)

What's This About?
The Junky Car Club calculates the approximate number of total dollars and hours that members plan to give to various causes in a year. Your personal information is confidential.
MAILING INFORMATION
If you would like us to mail your official Junky Car Club membership card, bumper sticker and JCC packet, please fill in the below fields.
Address:
City:
state:
Zip:
Country:
* required fields
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CONTACT INFORMATION
Junky Car Club Headquarters
5 Peters Canyon Road, Ste. 330
Irvine, CA 92606

e: Info@junkycarclub.com
p: 949.419.6026
f: 949.419.6817

The Junky Car Club is an initiative of Ethur which is a 501-c3 non profit organization incorporate in California. Find out more about Ethur at www.Ethur.org

An Ethur Project / Compassion International / Facebook / Flickr / Myspace / Virb / You Tube

copyright 2008 ethur and junky car club

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