Carolina Classic Corvettes Membership Application
Date: _______________________ Dues $40.00 per year
Name: _________________________________________
Spouse or Significant others Name _________________________________
Address: ______________________________________________________
City/State/Zip: _________________________________________________
Email: ________________________________________________________
Phone: Home: ______________ Cell: ______________
Are you a veteran? Yes/No
Information about your Corvette(s)
1.Generation Corvette: C1-C8: _______ Convertible? Yes/No
Year/Model/Color Corvette: ______________________________________
2.Generation Corvette: C1-C8: _______ Convertible? Yes/No
Year/Model/Color Corvette: ______________________________________
Member of any other Vette Clubs? (List clubs name) __________________________________________________
Information about you or your Corvette you wish to share:
____________________________________________________________
____________________________________________________________
____________________________________________________________
Mail application and dues to the following:
Carolina Classic Corvettes Club
1323 Misty Morning Court
Fort Mill, S.C 29708
Make checks payable to Carolina Classic Corvettes Club
Questions email Treasury of CCCC. Len M at len.maio65@gmail.com
or
President of CCCC Steve Madurski procketus@yahoo.com