Home

 

 

Membership Application

Please read our Policies and Guidelines carefully.

To become a member, please print-complete-mail this form to Cape Cod Adventures along with your $35.00 payment or simply complete this form online to become a member today!

* Required Fields
 
* Today's Date

* Full Name
Spouse's Name
* Address
* City * State * Zip Code
* e-Mail Address * Phone Number  
 
Winter Home Address (if away for 3 months or more)
City State Zip Code
Credit Card Information
* NAME AS IT APPEARS ON CREDIT CARD
* PAY BY CREDIT CARD * Card Number * Expiration Date
security code * Security Code (last 3 digits on reverse of card)
Please Submit Trip Ideas
Trip Idea #1
Trip Idea #2
Trip Idea #3
Trip Idea #4
*Total Payment Sent/Enclosed

Agreement for web based payments
Please read the above before you continue and indicate your acceptance of the terms:
Secure Transactions Secure Transactions
Your order will be processed manually, using the card details you provide. Your card details are encrypted and collected by our secure server. To Maximize security we do not keep records of customers' credit card details.
CAPE COD ADVENTURES
800 ROUTE 6A - PO BOX 2029 - DENNIS, MA 02638
508-385-5547
info@CapeCodAdventures.com
www.CapeCodAdventures.com
Copyright © 2006 Cape Cod Adventures