CROSS  FLAGS CORVETTE CLUB




              MEMBERSHIP APPLICATION & INFORMATION


Regular Membership dues are $30.00 per couple (wife or significant other) yearly, based on a               
calendar    year.  All members’ dues are renewable January 1 thru February.
Requirements:  You must be at least 21 years of age and own a Corvette
.

Associate Membership dues are $30.00 per couple (wife or significant other) yearly, based on a
calendar year.  All members’ dues are renewable January 1 thru February.
Requirements:  You must be at least 21 years of age (no voting privileges).

If you are interested in joining the Cross Flags Corvette Club, simply print this page, fill out the
information and mail with your check payable to Cross Flags Corvette Club, 420 Elmwood Dr.,
Spartanburg, SC 29303 or bring it with you to a meeting.
 

Any questions:
 jeanette_w2000@yahoo.com



Member Information           Regular Member  ______ Associate Member________


Name: (First, M., Last) ____________________________________________________

   
Spouse/Significant Other  ______________________________________________________

  
Street Address  ___________________________________________________________
   

City, State, Zip _______________________________________________________________
    

Home Phone   ___________________________________________________


Work Phone  ____________________________________________________

   
Cell Phone(s)  __________________________________________________________________________

  
E-Mail Addresses _______________________________________________________________________

    
Preferred names for Name Tags  __________________________________________________________       



Your Corvette Specs


Description   _________________________       Corvette #1_______________        Other Corvette (s)

Year  __________________________________________

            
Body Style (Coupe, Roadster/Convertible, Hardtop)  ________________________________________

            
Color (Exterior/Interior)  ______________________________________________________________

            
Engine (235, 265, 283,327,350,383,396,427,454)   _________________________________________

           
HP (Horsepower Rating )_____________________________________________________________

              
Transmission: (Standard 3-4-5-6 Speed, or Automatic)    ____________________________________

          
               
Other Special Features or Modifications_________________________________________________