| Corvette Club of San Francisco Membership Form |
| Tell us what kind of Corvette(s) you have! |
| Tell us a little bit about youself and your car! |
| Name: |
| Spouse's Name: |
| Address: |
| Email: |
| Phone #: |
| Any other clubs you may be a member of |
| Year: |
| Year: |
| Color: |
| Color: |
| Body Style: |
| Body Style: |
| Engine Size: |
| Engine Size: |
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| Please print out this form completing all parts, along with copies of your Drivers License and proof of Insurance, and a check or money order for the Membership selected, and mail to: Corvette Club of San Francisco P.O. Box 642217 San Francisco, CA 94164-2217 |
| Drivers License # |
| _____________ |
| Insurance Company/Policy # |
| _______________________________________ |
| Please select which membership you are applying
for, and which item you would like ____ Single $65.00 ____
T-Shirt ____ Cap ____ T-Shirt ____ Cap
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