CAROLINA CORVETTES APPLICATION FOR MEMBERSHIP Fill out this form and the NCCC application form (link below) and bring them to the next club meting. Date _______________________________ Name ______________________________________________________________ Spouse/Companion ___________________________________________________ Address ____________________________________________________________ City ______________________________________State ______Zip ___________ Home Phone (_____) _____ - ________    Work Phone (_____) _____ - ________ Home E-Mail Address   _______________________________________________ Work E-Mail Address  ________________________________________________ Birthday (dd/mm)          You:  ______/______    SpouseCompanion:  ______/______ Your Vette:   ______    ____________________    ________     __ Coupe    __ Conv.                     Year               Color                         Engine    You  Spouse/Companion Club Initiation Fee ( one time only) $10 $5 Club Dues ( $5 per month + $2 for Spouse) _____ _____ National Concil of Corvette Clubs (NCCC)        Annual Dues $35 $10   --------- ---------- Grand Total MAKE CHECK PAYABLE TO CAROLINA CORVETTES NCCC Membership Application  Here