Membership Application

Thank you for your interest in becoming a member of Vintage Vettes of the Ozarks. We look forward to having you participate in our monthly events. Our club dues are $40.00 the first year and $30.00 thereafter. Check should be made out to "Vintage Vettes of the Ozarks". Please send your completed application and dues to the Club Treasurer at the address listed below.

NAMES	_______________________________________
SIGNIFICANT OTHER	_______________________________________
STREET ADDRESS	_______________________________________
CITY/STATE/ZIP	_______________________________________
HOME PHONE	( ) __________________________________
WORK PHONE	( ) __________________________________
E-MAIL ADDRESS	_______________________________________ _______________________________________
ANNIVERSARY (mo/date/yr)	_______________________________________
BIRTHDAYS (mo/day)	_______________________________________ _______________________________________
YEAR, COLOR AND MODEL OF CORVETTE(S) OWNED
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PERSONAL BIOS (BIRTHPLACE, FAMILY, OCCUPATION (CURRENT AND/OR FORMER), PERSONAL INTERESTS) Please indicate your preference receiving the Monthly Newsletter: hardcopy OR e-mail