Membership Application




  APPLICATION FEE $100.00                                    MONTHLY FEE $25.00


PERSPECTIVE MEMBER'S INFORMATION  

 NAMES:



 WIFE OR OTHER:



ADDRESS:








CONTACT INFORMATION:  

PERSPECTIVE MEMBER:

CELL / HOME PHONE:            






EMAIL:




CORVETTE INFORMATION:  


YEAR - MODEL - COLOR




YEAR - MODEL - COLOR





REFERRING MEMBER'S NAME




















The club meets every second Sunday of each month at 5:00pm.