Membership Application | South Shore Corvette Club

Membership Application

Fields in RED are required. Please fill out as completely as possible and click SUBMIT.

Full Name

Spouse/Partner Name

Street

City

State

Zip Code

Home Phone

Cell Phone

Other Phone

Email

Your Birthday (no year)

Spouse Birthday (no year)

Best way to contact me:

email U.S. Mail Phone

Please check all the types of club activities that you find interesting and may participate.

Your Corvette/s

Year

Model

Color

Name for Name Badge (free with membership)

Name for additional badge spouse/partner ($15 charge)

How did you first hear of the South Shore Corvette Club?

Referred by:

Additional questions or comments

I will abide by the bylaws of the South Shore Corvette Cub.

I Agree.

First year dues are pro-rated based on the month you join and includes one member name badge. Renewal is in January at $75.00/family membership.

Please send your check for dues to:
South Shore Corvette Club
P.O. Box 368
Weymouth, MA 02188-0003