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Membership Renewal Form

Print, fill out, mail to address below.

Name:    ______________________________________ 

Spouse Significant other:     _________________________

Address:______________________________________

Home Phone:  __________________________________

Cell:   ________________________________________

City:   ________________________________________

Zip: _________________________________________

Email: _______________________________________

Shirt Size: (circle) – M L XL XXL

Mailing Address:  

Colonial Corvette Club

103 Westward Ho

Williamsburg, VA 23188

Sponsored By: (club member name)   ______________________________

Corvette Info:  ________________________________________________

Corvette Year:  ________________________________________________

Color:   ______________________________________________________

Model:  ______________________________________________________

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Colonial Corvette Club

Colonial Corvette Club - All Rights Reserved

Our President is John Horn - jmhorn2001@yahoo.com; please contact him via email for more information about the Club.

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