membership form. - Citrus County Corvette Club

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It is really easy to join the Citrus County Corvette Club. Fill out this form and mail it in with your check - and that's all there is. Note that the. Website online form is ...
CITRUS COUNTY CORVETTE CLUB MEMBERSHIP FORM It is really easy to join the Citrus County Corvette Club. Fill out this form and mail it in with your check - and that's all there is. Note that the Website online form is “typeable”. Type it online, print it out, and then mail. Join now - don't miss any of the fun. Mail to: Citrus County Corvette Club P. O. Box 641012 Beverly Hills, FL 34464 1. Individual Membership: $ 15.00 2. Spouse or Significant Other Membership: $15.00

Use the Website online “typeable” form or print clearly. DATE _____________________

New Member

R Renewing Member

NAME ____________________________________________________________________$15 SPOUSE __________________________________________________________________$15 ADDRESS

_______________________________________________ AMOUNT PAID $_____

CITY ______________________________

 PHONE (

)_________________ Tell us about your Corvette(s):



ST ______

ZIP _________________

E-Mail___________________________________

Year ______________ Model ______________ Color _________________________________ Year ______________ Model ______________ Color _________________________________ Please fill this form out completely, but add a “X” mark to those items you do not want released to fellow members (when the club Membership Roster is published). Please tell us what you want this Club to do - events, rallies, shows, idea exchange - anything at all. Your comments, questions and suggestions are sincerely invited. _____________________________________________________________________________ Do you wish to serve on any committees, on the Board, or hold elected office? ________________________________________________________________________________________________ CCCCMembershipFormRev.11

10/1/2015