APPLICATION FOR MEMBERSHIP

NAME:________________________________SPOUSE:__________________________________

ADDRESS:____________________________________________________CITY:______________________

STATE:_________________________ZIP________________PHONE (_____)________________________

YOUR BIRTHDAY: MO_________DAY________ SPOUSE’S BIRTHDAY: MO________DAY________

CLASSIC INFORMATION

YEAR:________MODEL:______________________________SERIES:_____________________________ (Hardtop, Sedan, Etc.) (Bel Air, 210, 150)

ADDITIONAL CLASSICS:

YEAR:_________MODEL:_____________________________SERIES:_____________________________

YEAR:_________MODEL:_____________________________SERIES:_____________________________

We accept all models of the 55-56-57 Chevy’s including Corvettes, pick-ups, etc. You need not own a

55-56-57 Chevy, but must express a desire to help preserve these classics.

SPECIAL INTERESTS:

_________________________________________________________________

_________________________________________________________________

SIGNATURE:__________________________________________________

REFERRED BY:________________________________________________

(Person most responsible for your joining TVCCC)

The purpose of the club will be the restoration, preservation, and enjoyment of the Classic Chevrolet Cars (from point cars to modified), to provide and regulate events, tours and car shows for it’s membership. We also assist each other in locating parts and working for the defeat of legislation that may be harmful to our hobby.

Dues are $25 per year, subject to change by membership vote.

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CLUB USE: DATE________/________/________ AMOUNT PAID:__________________