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SPRINGFIELD, MO |
MEMBERSHIP APPLICATION
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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 President at the address listed below. |
PLEASE PRINT
| NAMES |
_________________________________________________ |
| SIGNIFICANT OTHER | ________________________________________________ |
| STREET ADDRESS | ________________________________________________ |
| CITY/STATE/ZIP | ________________________________________________ |
| HOME PHONE | ( ) |
| WORK PHONE | ( ) |
| E-MAIL ADDRESS |
________________________________________________
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| ANNIVERSARY (mo/day/yr) | |
| BIRTHDAYS (mo/day) |
________________________________________________
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| YEAR, COLOR AND MODEL OF CORVETTE(S) OWNED | |
| FREE CLUB SHIRT - SIZE: S/M/L/XL/XXL GUYS: GALS: | |
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PERSONAL BIOS (BIRTHPLACE, FAMILY, OCCUPATION, CURRENT OR FORMER,
& PERSONAL INTERESTS)
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RETURN TO:
VINTAGE VETTES OF THE OZARKS
Brian Engle, Secretary
3830 West Mt. Vernon
Springfield, MO 65802