Application for Membership in the North Texas Corvette Club

NTCC Membership and Event Information

http://ntcorvetteclub.com/

We can list separate email/address/telephone number for each individual in NTCC, thus each member of a couple can have separate information if desired.

Please Print Clearly – This form may be FAXED so image quality can be degraded.

Your Name(s): (1) _____________________________________________________

(2)_____________________________________________________

Address: (1) __________________________________________________________

(2) _____________________________________________________

Telephone: (1) ____________________________ (2) _________________________

Email Address: Note all NTCC communication is “on-line” via web page and email.

(1) _______________________________________________________________

(2) _______________________________________________________________

Your Corvette(s). Year(s), Color(s) and Model(S)

______________________________________________________________________

______________________________________________________________________

Corvette Interests: __Cruises, __ Shows __ Autocross __ Racing __ Restoration

Other? (please let us know): ______________________________________________