4-State Vettes
Application
Thank you for your interest in becoming a member of 4 State Vettes! We look forward to having you participate in our monthly meetings and events. We meet the 2nd Tuesday of each month at 7:00 p.m. at Granny Shaffer's Restaurant at 2728 North Rangeline, in Joplin, Missouri. Our club dues are $30.00 per year for couple, or $20.00 per year for single. Checks can be made payable to:
4 State Vettes.
Please send
your completed application and dues to the address below. See you soon!
Please Print
Name:
_______________________________________________
Significant Other:
_____________________________________
Street Address:
_______________________________________
City:
________________________State: _______Zip: _______
Home Phone:
(____)__________________________________
Work Phone :
(____)__________________________________
Cell Phone:
(____)__________________________________
E-Mail:
_____________________________________________
Year/Model of Corvette(s) owned: _______________________
(i.e. 1963 Coupe)
Send To:
4 State Vettes
P.O. Box 2074
Joplin, Mo. 64803-2074
(417) 776-8858
Welcome!
Tell
your Corvette friends!
Date of
Application: _______________________