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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

Box 496, Regina, Saskatchewan, Canada S4P 3A2

q New

q Renewal

 

NAME _____________________________________________________________________

ASSOCIATE ________________________________________________________________

PHONE: (h) ______________________________ (o) ________________________________

ADDRESS __________________________________________________________________

CITY ________________________________ PROVINCE ____________________________

POSTAL CODE (important) _____________ EMAIL ________________________________

MEMBERSHIP FEE ENCLOSED

q CASH

q CHEQUE

 

$35.00 EACH YEAR (expires October 31 of each year)

 

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 Slalom Racing

q Club Apparel

q Buffalo Days Parade

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.

q Include my information in the rosters indicated above

q Do not Include my information in the rosters indicated above

 

 

Signature_________________________________________Date________________________