NCRS Indiana Chapter
Sponsored by the Indiana Chapter National Corvette Restorers Society.

You can join online by credit card or PayPal here!

MEMBERSHIP APPLICATION
INDIANA CHAPTER NCRS, INC.
AUTHORIZED CHAPTER OF THE
NATIONAL CORVETTE RESTORERS SOCIETY

Name _________________________________________ Spouse _______________________

Address ______________________________________________________________________

City _______________________________________________ State ______ ZIP ___________

Telephone (____) ______ - __________* NCRS Membership Number (Required)      _________

E-mail Address:_________________________________________________________________

* Found on Driveline or Restorer Label or can look it up if you give us the same address you used when you joined NCRS
You must be a member of the NCRS to join the Indiana Chapter NCRS.

Dues: $20.00 Per Year, January to January
$10.00 July 1 to January
Please make check or money order payable to:
INDIANA CHAPTER NCRS, INC.
Mail to:
Judy Waggoner
1261 Hilliview Dr..
Franklin, IN 46131-1912
   

 


In order for the chapter to offer assistance to one another it is helpful if there is a record of the models owned by our members. This is not required. Add a second sheet if necessary.

Corvettes owned at present time: Corvettes previously owned:

Year __________ Model _________________ Year _________ Model ________________

Year __________ Model _________________ Year _________ Model ________________

Year __________ Model _________________ Year _________ Model ________________

Year __________ Model _________________ Year _________ Model ________________

Copyright: Indiana Chapter National Corvette Restorers Society, Inc.
1999-2014