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 Secretary 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


PERSONAL BIOS (BIRTHPLACE, FAMILY, OCCUPATION (CURRENT OR FORMER), PERSONAL INTERESTS) Please indicate your preference receiving the Monthly Newsletter: hardcopy OR e-mail