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STREET DREAMS
CORVETTE CLUB INC.
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Application for Membership
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Email
*
Last name:
*
First name:
*
Birthday:
*
Month
Day
Year
Address:
*
Cell Phone:
*
Occupation:
Emergency Contact Phone:
Event or Meeting You Attended:
*
What are your other interests?
Married:
*
Yes
No
Spouse (or Signicant Other) Name:
Spouse or S.O. Email:
Is this your first Corvette?
Yes
No
Corvette Information:
How did you first hear about our club?
Please give a short explanation of why you would like to join Street Dreams Corvette Club and describe the types of activities that you would like to participate in:
If accepted as a member of The Street Dreams Corvette Club. I promise to abide by the rules of the club and do my part in accordance to the Club’s Mission Statement. Member Pledge:
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Spouse / S.O. Pledge:
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Fixed price (Paid in Person to the President)
$10
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