Membership Application

 

Membership Application

 

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FALLS CITY CORVETTE CLUB EST. 1964

LOUISVILLE, KY

MEMBERSHIP APPLICATION

 

Name    Birthday   

Spouse's Name Birthday  

Address  

Wedding Annv.  

 Phone #  Cell Land Line (Please Let us know if Cell or Land line.)

 Work #   2nd Phone  Cell Land Line (Please Let us know if Cell or Land line.)

Email  

Year    Style   Color   

   DATE

 

MAKE CHECKS PAYABLE TO FALLS CITY CORVETTE CLUB

 

 

 MAIL TO:

                    FALLS CITY CORVETTE CLUB
                    C/O  TROY BENNETT
                    P.O. BOX 21727
                    LOUISVILLE, KY 40221-0727
 
 PAYMENT IS TO BE RECEIVED  WITHIN  7 DAYS OF SUBMITTED APPLICATION
Please print a copy of this form and mail with Payment.

 

Items in Red are a must

 

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