New Membership Application Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Multiple ChoiceSINGLEJOINTApplicant 1 Name *FirstLastDate of BirthCell # and other phone #Email *Address: City, State, ZipCorvettes: Year / Model / Color / License Plate #Applicant 2 Name *FirstLastDate of Birth Cell # and other phone # Email *Address: City, State, Zip Corvette: Year / Model / Color / License Plate#Proof of Insurance: Policy Number / / Zip How did you hear about us?What are your interests? Please check all that applyCar ShowsFun RunsParadesTracking you carCar RestorationSocial EventsOtherTell us about yourself. What are your hobbies or interestsMeeting and Club Event you attended (Minimum of two needed)Date Attended / Event / SponsorDate Attended / Event / SponsorSignatures: Applicant and SponsorFOR OFFICIAL USE ONLYDate SubmittedInitiation Fee $Reinstatement Fee $Prorated Fees $Name *FirstLastTotal Paid / Date Paid /Check#Treasurer's SignatureApproved by BOD DateMembership Number / Date Issued / Date EnteredMembership Number / Date Issued / Date EnteredSubmit Download QR Print QR
