South Coastal Corvette Club
Membership application
Name
____________________________________________
Address
__________________________________________
City
_____________________________________________
State
__________________ Zip
_____________________
Phone
____________________________________________
Email
____________________________________________
Year of Corvette
___________________________________
Color-Exterior
___________ Color-Interior _____________
Special Interests __________________________________
_________________________________________________
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I would like to join South Coastal Corvette Club. I state that I am above 21 years of age and
own a corvette. Please consider me as a
member. Dues are $84 per year/prorated
at $7 per month. Dues are due annually
in January. Please accept my first years
prorated dues fee of $_______ dollars.
Signed: ____________________________________________________
South Coastal Corvette Club. 500
Front Street, Weymouth MA 02188
