Foothills Corvette Club Application Form

 
Name: Spouse:
Address:
City: State: Zip:
Home Phone: Work Phone:
E-mail:
Birthdays His: Hers:
Corvette info:
Year: Color:
Coupe:       Roadster:       Fixed Roof:
Year: Color:
Coupe:       Roadster:       Fixed Roof:
 

Please print and send to Shirley Myers, 233 Meadowbrook Lane. Millers Creek, NC 28651. Please make check out to Foothills Corvette Club.