Membership Application
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| Member Name: |
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| Spouse/Significant Other: |
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| Member Birthday:(Must be 21) |
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| Spouse/Other Birthday: |
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| Preferred Name: |
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| E-mail Address 1: |
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| E-mail Address 2: |
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| Anniversary: |
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| Address Street 1: |
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| Address Street 2: |
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| City: |
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| Zip Code: |
(5 digits) |
| State: |
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| Daytime Phone: |
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| Evening Phone: |
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| Emergency Contact Info. |
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Corvette's Currently Owned:
Year, Coupe/Conv, Color, Plate and
Special Information |
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How did you hear about
Generations Corvette Club?
(Website, friend, carshow, etc.)
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| Tell us about yourself:: |
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What activities interest you?
Check all that apply. |
Cruise-Ins
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Drives to eat |
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Day Trips |
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Weekend Trips |
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Car Shows |
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Parades |
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Car Care Days |
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High Performance Driving |
| Other Interest: |
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Are you interested in planning events?
Cruise-Ins, car shows, drives to eat,
road trips, etc. |
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Fields Below for
Membership Director Use Only:
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***Leave These Blank*** |
| Date Application Received: |
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| Date Dues Received: |
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| Date Voted In: |
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| Given Membership Package: |
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***Notice***
By clicking the "Submit" button, you agree electronically to assume personal responsibility
for all risks related to participation in club automotive events and to indemnify and hold harmless
the Generations Corvette Club of the Carolinas and its officers, members, and volunteers.
Please contact Bart Richards if you have any questions or
if you do not hear back from Bart within 2-3 days, confirming that he received your application.
Please e-mail a picture of you and your car to 1981vette@bellsouth.net
so it can be put on the New Rides page after you submit an application.
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