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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. |