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. Dues received after October 1, will be applied to the following year. 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 (circle one): emailed or snail mail





Corvette Information:

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


Referred by : ____________________________________________________________________________



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