Prescott Vette Sette Corvette Club
MEMBERSHIP APPLICATION
www.prescottvettesette.com
...
Today's Date
MEMBER INFORMATION

MEMBERSHIP
New
Renewal
MEMBERSHIP TYPE
Single
Couple
* REQUIRED FOR MEMBERSHIP
YOUR CORVETTE(s)

ACTIVITIES

GOLFER TENNIS PICKLEBALL HIKER CAR EVENT
CLUB PARTICATION

Club Officer Board of Directors Charity Committee Social Committee Plan a Drive-Out
Internet Club Member Flyer Dealership Car Show Website Other


FOR CLUB USE ONLY

Date Application Recived
Dues Paid
YES NO
Membership Active
YES NO
Date Joined