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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 Secretary 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/date/yr) | |
| BIRTHDAYS (mo/day) |
________________________________________________
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| YEAR, COLOR AND MODEL OF CORVETTE(S) OWNED | |
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PERSONAL BIOS (BIRTHPLACE, FAMILY, OCCUPATION (CURRENT OR
FORMER), PERSONAL INTERESTS)
Please indicate your preference receiving the Monthly Newsletter: hardcopy OR e-mail |
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RETURN TO:
VINTAGE VETTES OF THE OZARKS
David Baker, Club Secretary
1811 East Nottingham
Springfield, MO 65804