MINNESOTA VALLEY CORVETTE CLUB MEMBERSHIP
 APPLICATION FORM

Annual membership dues for the Minnesota Valley Corvette Club (MNVCC) are payable prior to April 1. Members who do not paid by this date will be dropped from the current membership roster. The yearly membership fee is $20. Please complete this form.

Make check payable to: MNVCC                                     Circle if this is a     Renewal and nothing has changed

Mail to: Laurie Wilhelm, Treasurer MNVCC                                                     
                40157 US Hwy 14, N. Mankato, MN 56003    

                              
Name of Applicant:_______________________________________________________________________
 
Spouse or Significant Other_________________________________________________________________

Address________________________________________________________________________________

City______________________________________________State___________________Zip____________

Phone ( )_______________________________________ Cell Phone ( ) _____________________________

Email __________________________________________________________________________________

Additional Email addresses:__________________________________________________________________


Newsletter are sent by e-mail: 


                    Address:  ____________________________________________________________


Corvette Information:


Year :_______________                      Convert, T-tops, or Coupe                          Color: _________________


Referred by : ____________________________________________________________________________ 



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