New S/SS Forum Membership Information

This Form is for those who are interested in the NEW Stock/ Super Stock Forum.
It applies to those who have already sent in their membership and to those who 
would like to be a member but have not sent your info to me.
If you have already sent in your membership please fill out the form below and submit it to me by clicking the submit button at the bottom of the page.
I will get the results through my E-mail address.

Please use the following form when sending your membership info online or you can print and send the following information to me with the Yearly $20 dues to:

Dale Rethke
202 Jen Lane
         Milbank SD 57252

Print this form and send your dues together if you would like

You may also become a Super Stock Forum member through PayPal by paying  your $20 membership to the following E-mail address: dale@superstockforum.com

All fields in RED are required

Name: 
                                 Real Name

 Address:
                      Minimum address required is state

E-Mail Address:
                                          Required / must be valid

Class & Competition #:
                                             Example: G/SA 4444 / If applicable

Type of car:
                                Example : 69 Mustang B/SA /If applicable

Please enter a Forum username and password (required information)

Username:
                          MUST USE REAL NAME HERE

Password:
                                 Your Choice Here

If you have previously sent in your dues for the NEW S/SS Forum please indicate here:
                                                                                                                                                 Yes / No

Post any additional Info/ Questions below
and I will get back to you.

Send the Yearly $20 dues to the following address: (If you paid dues with Pay Pal disregard this area).
Dale Rethke
202 Jen Lane
Milbank SD 57252