Application

of the Carolinas

Application

Membership Application




Member Name:
Spouse/Significant Other:
Member Birthday:(Must be 21)
Spouse/Other Birthday:
Preferred Name:
E-mail Address 1:
E-mail Address 2:
Anniversary:
Address Street 1:
Address Street 2:
City:
Zip Code:	(5 digits)
State:
Daytime Phone:
Evening Phone:
Emergency Contact Info.
Corvette's Currently Owned: Year, Coupe/Conv, Color, Plate and Special Information
How did you hear about Generations Corvette Club? Or, who referred you to our club?
Tell us about yourself::
What activities interest you? Check all that apply.	Cruise-Ins
	Drives to eat
	Day Trips
	Weekend Trips
	Car Shows
	Parades
	Car Care Days
	High Performance Driving
Other Interest:
Are you interested in planning events? Cruise-Ins, car shows, drives to eat, road trips, etc.
Comments:	Enter comments here!
Fields Below for Membership Director Use Only:	*Leave These Blank*
Date Application Received:
Date Dues Received:
Date Voted In:
Given Membership Package:

***Notice***
By clicking the "Submit" button, you agree electronically to assume personal responsibility
for all risks related to participation in club automotive events and to indemnify and hold harmless
the Generations Corvette Club of the Carolinas and its officers, members, and volunteers.

Please contact Bart Richards if you have any questions or

if you do not hear back from Bart within 2-3 days, confirming that he received your application.

Please e-mail a picture of you and your car to 1981vette@bellsouth.net
so it can be put on the New Rides page after you submit an application.

Your Car Gets You Here....Our People Keep You Here!