GLASS REUNION CORVETTE CLUB
BILLINGS, MONTANA
MEMBERSHIP APPLICATION
SEPTEMBER 1, 2008 – AUGUST 31, 2009
NAME(S): ______________________________________________________________
_______________________________________________________________________
ADDRESS: ______________________________________________________________
CITY, STATE, ZIP: _____________________________________________________
EMAIL ADDRESS: _______________________________________________________
HOME PHONE #: _____________________ CELL PHONE #: _____________________
OFFICE PHONE #: ___________________
YEAR OF CAR: __________ BODY STYLE: ____________ COLOR: _______________
YEAR OF CAR: __________ BODY STYLE: ____________ COLOR: _______________
SIGNATURE(S): _________________________________________________________
_______________________________________________________________________
(Couples require 2 signatures)
Dues:
Single – Renewal $60, Couples – Renewal $75
Single – New Member $70, Couples – New Member $85
Dues includes club required National Council of Corvette Club dues (NCCC)
Please pay by check only.
Mail completed and signed application with payment to:
Glass Reunion Corvette Club, PO Box 32067, Billings, MT 59107
www.glassreunioncorvetteclub.com
