SPOKANE CORVETTE CLUB
MEMBERSHIP APPLICATION
Name:___________________________ Address:___________________
City:_____________________________ State:_______ Zip:__________
Telephone: Home____________________ Work___________________
Email: _____________________________
Family Data
(optional):_________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
Corvette Data: (Previous and Current/Please distinguish between the two):
_____________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
Annual Dues: $40.00
New Members: $40.00 + $10.00 one-time initiation fee = $50.00 (before June 30th)
$20.00 + $10.00 one-time initiation fee = $30.00 (after July 1st)
For membership,
print this form, mail and make check payable to:
Spokane Corvette
Club
P.O. Box 18325
Spokane, Wa. 99228-0325
If you have any questions or need additional information, please email:
Last Modified: Tuesday, February 02, 2010