Application Form

MEMBERSHIP FEES

MEMBERSHIP $75 pa

NEW MEMBERSHIP $100 pa (Inc. Name tag & shirt 1st year only)

COUPLES MEMBERSHIP $120 pa

NAME TAG (optional) $5 each

Bank transfers: BSB: 112 879 / ACC: 043316814

Cheque or money orders payable to: NSW CORVETTES UNLIMITED CAR CLUB INC. P.O BOX 1044, Green Valley NSW 2168.

Membership covers a twelve month period from July to June or $7 per month until the end of June.

Membership Renewal

Couples Membership

New Member

Name Tag

Title

Surname

First name

Address

Suburb

Postcode

Postal Address

Suburb

Postcode

Occupation

Spouse / Partner Name

Phone - Home

Mobile

Get a copy

D.O.B

D.O.B - Your Spouse / Partner’s

Shirt Size

50%

Year

Engine

Color

Trim

Trasmission

Rego

Will you be requiring club registration?

I the undersigned wish to become a member of the NSW Corvettes Unlimited Car Club Inc. and enclose my subscription herewith. I agree that I will abide by the Constitutions of the NSW Corvettes Car Club Inc.

Date

Fee(s) Enclose $

Which would you be interested in attending?

BBQs & Leisure Drives

Club Runs

Show & Shine

Other

How did you find out about the NSW Corvettes Club?

Do you have a business or trade that you would like to promote in our Newsletter or Web Site?

Comments

APPLICATION FOR MEMBERSHIP

A CLUB FOR CORVETTE ENTHISIASTS

MEMBERSHIP FEES

ALL INFORMATION PROVIDED WILL BE HELD IN THE STRICTEST CONFIDENCE

APPLICATION TYPE

MEMBER DETAILS

VEHICLE DETAILS

DECLARATION

QUESTIONNAIRE
Magazine sent Post or email Please circle

COMMENTS

“PUT THE STING BACK INTO LIFE”

Club Sponsors

APPLICATION FOR MEMBERSHIP

A CLUB FOR CORVETTE ENTHISIASTS

MEMBERSHIP FEES

ALL INFORMATION PROVIDED WILL BE HELD IN THE STRICTEST CONFIDENCE

APPLICATION TYPE

MEMBER DETAILS

VEHICLE DETAILS

DECLARATION

QUESTIONNAIREMagazine sent Post or email Please circle

COMMENTS

“PUT THE STING BACK INTO LIFE”

Club Sponsors

QUESTIONNAIRE
Magazine sent Post or email Please circle