Membership Renewal Form

Print, fill out, mail to address below.

Name:  _______________________________________

Spouse Significant other:   _________________________

Address:______________________________________

Home Phone: __________________________________

Cell:  ________________________________________

City:  ________________________________________

Zip: _________________________________________

Email: _______________________________________

Shirt Size: (circle) – M L XL XXL

Sponsored By: (club member name)  ______________________________

Corvette Info:   ________________________________________________

Corvette Year:  ________________________________________________

Color:  _______________________________________________________

Model:  _______________________________________________________

Mailing Address:  


Colonial Corvette Club

103 Westward Ho

Williamsburg, VA 23188

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