Thank you for your interest in Suncoast Corvairs! |
You are always welcome
to come to one of our events first to see how the club operates. |
To join, print a copy of this page and send to the address below with the appropriate fees & dues. |
APPLICATION FOR NEW MEMBERSHIP
SUNCOAST CORVAIRS, INC. - CORSA CHAPTER #336
| NAME:_________________________________________________________________________ |
| ADDRESS:______________________________________________________________________ |
| CITY/STATE/ZIP:________________________________________________________________ |
| PHONE # ________________________ EMAIL ADDRESS:______________________________ |
| 2nd NAME:______________________________________________________________________ |
| CORVAIRS OWNED: _____________________________________________________________ |
| EMPLOYER:_____________________________________________________________________ |
| TYPE OF MEMBERSHIP: Individual _______ Family_______ BIRTH MONTH: ________________ |
| AMOUNT ENCLOSED $________________ CORSA MEMBER? Yes______ No______ |
I understand that completion of this application signifies my intent to become active in the programs of the club and to abide by and conform to the purpose set forth in the Constitution and Bylaws of the Suncoast Corvairs, Inc. |
| SIGNATURE:_____________________________________________DATE:_________________ |
| Make check payable to SUNCOAST CORVAIRS, INC. |
| Mail to: Monica Pinnell 652 Circle Drive E. Largo, FL 33770 |