4-State
Vettes
Registration
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. (dinner starting at 6:00 p) at Granny Shaffer's Restaurant at 2728
North Rangeline, in Joplin, Missouri. Our club dues are $40.00/year per Single member
& $50.00/year per Couple.
Checks can be
made payable to: 4 State
Vettes.
Please send
your completed registration and dues to the address below. See you soon!
Please Print Date:____________________
Name: __________________________________Birthday:_____________
Significant Other:
________________________Birthday:_____________
Street Address:
________________________________________________
City: ________________________State:
_______Zip: _______
Home Phone: (____)__________________
Work Phone: (____)______________(____)_________________
Cell Phone: (____)________________(____)_________________
E-Mail: ___________________________________________
Year/Model/Color of Corvette(s) owned: (i.e.
1963 Coupe)_______________________
Employer(s):_________________________________________________
Anniversary:_________________
Children:___________________________________________________
Grandchildren:______________________________________________
Mail To:
4 State Vettes
P.O. Box 2074
Joplin, Mo. 64803-2074
4-statevettes.org