We welcome all Corvette enthusiasts.
Current membership dues are $20 / year for single
or $30 for a couple.

Member Name: ____________________

Spouse Name:______________________

Address: __________________________________________________________

City: _________________________ State: ________ Zip: ___________

Telephone Number: _______________________ Other Number:________________

Email Address: __________________________

Date: _____/_____/_____

Corvette (s)

Year ____________________   Model _______________ Color ___________

Year ____________________   Model _______________ Color ___________

Are you interested in showing your car(s) i.e. Going to car shows?

Yes _________No ________    Touring Activities? Yes _________ No ________

How did you hear about this club? _____________________________________

Please print out this form and mail application and dues to:

Cruzin' Corvette Club - Membership      Phone (509) 838-1916
c/o Webmaster Will Murray
1004 W. 23rd Avenue
Spokane, WA 99203