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Valley
Corvette Club
Membership
Form
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Name:
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Spouse/Friend:
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Address:
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City:
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State:
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Zip:
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Phone:
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Cell:
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Email:
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Birth
Month:
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Year
of Corvette(s):
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Body
Style:
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Color:
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How
did you find out about the Valley Corvette Club?
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Friend
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Website
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Event
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Other
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This section to
be filled out by Valley Corvette Club Treasurer
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Membership
Dues ($20):
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Check
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Cash
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Date
Submitted:
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Receipt
#:
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Treasurer
Signature:
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