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The Regina Corvette Club

 

How to join the Regina Corvette Club

Shown below is our membership application form, but click here to print the membership application form

 

 

 

Regina Corvette Club

Membership Form

Box 496, Regina, Saskatchewan, Canada S4P 3A2

 

q  New member application          

q Membership Renewal

 

NAME _____________________________________________________________________

 

ASSOCIATE ________________________________________________________________

 

PHONE: (h) ______________________________ (c) ________________________________

 

ADDRESS __________________________________________________________________

 

CITY ________________________________ PROVINCE ____________________________

 

POSTAL CODE (important) _____________ EMAIL ________________________________

MEMBERSHIP FEE   $35.00 EACH YEAR (Due October 31 of each year)

 E-Transfer to Reginacorvetteclub@gmail.com or Cash or Cheque payable to Regina Corvette Club

 

 

 

 

 

1st car

Year__________

Model________

Colour________

Features____________

2nd Car

Year__________

Model________

Colour________

Features____________

 

INTERESTED IN

 

q  Road Trips

q  Rally

q  Cruising

q  Social Events

q  USA Events

q  Autocross

q  Club Apparel

q  Parades

q  Learning to Restore / Repair

 

HOW DID YOU HEAR OF THE CLUB? ___________________________________________

 

____________________________________________________________________________

INTERESTED IN MEMBERSHIP IN THE CANADIAN COUNCIL OF CORVETTE CLUBS?

 

(Membership is $40.00 annually, $5.00 extra first year to cover the cost of rule book and jacket patch. Provides liability insurance of Club events, includes quarterly newsletter, rule book for competitive events, Friend Finder address book and jacket patch.)

 Member and the Regina Corvette Club agree that they shall not use or disclose any confidential information for any purpose, commercial or otherwise, other than for inclusion in the Regina Corvette Club and Canadian Council of Corvette Clubs (Western Region) membership rosters, without the express consent of the member.

        Include my information in the rosters indicated above

         Do not Include my information in the rosters indicated above

 

Signature_________________________________________________Date__________________