Southern Corvette Club Membership Application
Membership Dues = $60.00 year
for member and spouse.
Name:______________________________________________________________________
Address:____________________________________________________________________
City:_______________________State______________Zip____________________________
Telephone:___________________________E-Mail ________________________________
Birthdays: His:______________Hers:________________
Corvette Info - Year:_____________Coupe:_________ Convertible:_________
This certifies that I am at least 18 years old and I own a corvette. This application is being submitted at a regular business meeting.
Signature:______________________________________ Date:_______________________
