Application for New Membership

Please complete and print this membership application and return it to the following:

Spokane Area Classic Chevy Club
PO Box 40023
Spokane, WA 99202
 
Date: Email:
Name - First, Last:
Spouse/Significant other Name - First, Last:
Address:
Address:
City, State, Zip, Country:
Phone, Fax:
Birthday: Spouse/Other Birthday
Children:
Vehicle(s) info: (Optional)
Year, Make, Model:
Description/Comments
Year, Make, Model:
Description/Comments
Year, Make, Model:
Description/Comments
Sponsor Info(Optional):    Name:

If printed, Sign here please _______________________________________________________

Membership is for the whole family.  All members are eligible to enjoy the full privileges of membership but only one vote per household is allowed.  Members will receive the monthly newsletter (except December where there is no meeting held).
Dues are for the calendar year from January to December.  They are due and payable before March 31 of each year.  There is no prorating of dues for late memberships, however, exceptions may be granted on a case by case basis.  No back issues of the newsletter are supplied.

Please make your check payable for $10.00 (in US funds) to SACCC