Membership

Membership New Renewal

Members Name

Date of birth

Partner's Name

Date of birth

Children's Names

include date of birth

Home Address

Postal Address

Postal Address if different to home

Phone Number

Mobile Number

Do you Want to receive the newsletter via email No Yes

Can we send you details about Club Events via email No Yes

Email address

Corvette details

Include:
- Year
- Body Type
- Colour
- Rego No.
- Engine Size
- RHD
- LHD

How did you find out about the Corvette Club of S.A Inc. Word of Mouth Website Friend Another Car Club Previous Owner Other

Membership Fees

New member $85.00 Renewal $80.00

Country member $40.00 Associate member $20.00 Pro-Rata (after 30th June) $40.00

Corvette club of SA Inc.