ROEA Online Application
Personal Information
Name:
Birthday:
Address:
City:
State:
Zip:
Home Phone:
Work Phone:
Email:
Spouse Name:
Spouse Birthday:
Family Members:

Do you own a Roush Performance Vehicle or Crate Engine?
Yes   No

Vehicle/Crate Engine Information
Model
Year
Stage:
Color:
Roush Serial Number:
VIN Number:
Membership Information
12 Month Membership ($25)
12 Month Membership Renewal ($25)
5 Years for the Price of 4 ($100)
5 Years for the Price of 4 Renewal ($100)
*All dues are non-refundable

Check here if you would be interested in volunteering your time to this Association.

What are you interested in (check all that apply)?
Racing
Car Shows
Other:

 


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