SPOKANE CORVETTE CLUB

MEMBERSHIP APPLICATION


Name:___________________________  Address:___________________

City:_____________________________ State:_______ Zip:__________

Telephone:  Home____________________ Work___________________

Email: _____________________________

Family Data (optional):_________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________

Corvette Data: (Previous and Current):____________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________

Annual Dues:  $40.00    

New Members: $40.00 + $10.00 one-time initiation fee = $50.00 (before July 1)

                          $20.00 + $10.00 one-time initiation fee = $30.00 (after June 30)

For membership, print this form, mail and make check payable to:
           Spokane Corvette Club
           P.O. Box 3032 T.A.
           Spokane, Wa. 99220

If you have any questions or need additional information, please email:

          sccvettes@centurytel.net 


Last Modified:  Dienstag, April 22, 2008