PALMETTO CORVETTE CLUB

 MEMBERSHIP APPLICATION - 2007

    $15.00 – Single  & $25.00 -Couple

For Membership Eligibility You Must Own a Corvette

 NAME(S): ________________________________        ____________________________

ADDRESS:_______________________________________________________________

CITY:  _____________________STATE:__________________ZIPCODE:_____________

BIRTHDAY: (Mo/Day) His________________ Hers   __________________

PHONE NUMBERS:        ________________HOME __________________

                                             ________________WORK __________________

                                             ________________CELL ___________________

  ___________________________________E-Mail _________________________________

YEAR VETTE                              TYPE (Coupe/Roadster)                     COLOR (Exterior/Interior)

____________                          ________________                             __________________            

____________                           ________________                           __________________

____________                           ________________                           __________________

____________                           ________________                           __________________

I understand and agree that membership in the Palmetto Corvette Club includes a responsibility to my fellow club members.  

I will support club activities, especially those designated as “CLUB PARTICIPATION EVENTS. I will conduct myself in a

manner that will not bring discredit to the club, its members or myself. I understand that the club’s Board of Directors may

rescind my membership if it is determined that my actions are not in accord with this pledge.

RETURN TO: Membership Chairperson – Michelle Floyd