National Corvette Restorers Society
| To join our Chapter, print the membership form below and mail to our Membership Chairman, Nick Kammer, 3243 Sears Road, Spring Valley, Ohio 45370.
Please note: To join our Chapter, you must also be a member of NCRS. Join now! |
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MEMBERSHIP FORM |
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Check #____________ |
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Date |
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Annual dues $20.00. ($10.00 for new members who join on or after July 1st ) | |||
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First Name |
Middle Initial |
Last Name |
Make check payable to |
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Miami Valley Chapter of NCRS |
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Street Address |
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( ____ ) ____________ |
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City |
State |
Zip |
Telephone |
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NCRS Member #_________ |
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E-mail Address |
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(See address label of Driveline or Restorer Magazine |
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Corvette(s) currently owned: |
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