Corvettes
Limited
of Bowling
Green, Kentucky, Inc.
· APPLICATION FOR MEMBERSHIP ·
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-- Member one -- |
-- Member two -- |
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NAME: |
NAME: |
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Preferred Name (on Name Tag): |
Preferred Name (on Name Tag): |
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STREET: |
STREET: |
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CITY: |
CITY: |
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STATE: ZIP: |
STATE: ZIP: |
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BIRTHDATE: |
BIRTHDATE: |
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HOME PHONE: |
HOME PHONE: |
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WORK PHONE: |
WORK PHONE: |
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CELL PHONE: |
CELL PHONE: |
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E-MAIL: |
E-MAIL: |
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Shirt Size: |
Shirt Size: |
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ANNIVERSARY: |
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CORVETTE(S) YEAR/COLOR/STYLE (example—2001 Red Convertible): |
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NEW MEMBERSHIP DUES are $50.00 PER PERSON.
Dues
are renewable September of each year $20.00 per person
no matter when you join.
Make Check Payable to: Corvettes Limited of Bowling Green
Then send Payment to Barbara Scheidt, 1712 Karen Ave., Bowling Green, KY 42104.
Date Dues Paid: ______ Signature: ____________________________