WVCA Online Application for MembershipP.O. BOX 20576 KEIZER, OREGON 97307 APPLICATION FOR MEMBERSHIP Please complete the information below. Annual Dues are $50 for couples and $35 for individual. Please enable JavaScript in your browser to complete this form.Applicant *FirstLastCoApplicantFirstLastAddress *Cell Number *Home Phone NumberEmail *Email (copy)Applicant Birthday mm/dd/yyyyCoApplicant Birthdaymm/dd/yyyyCorvette Year *You may add more than one2nd Corvette YearYou may add more than oneModel and package (e.g. Base Z51, Z06) *Model and package (e.g. Base Z51, Z06) #2Signature / In consideration of this membership application, I/we agree to abide by the the association constitution and bylaws. *Print your nameCoApplicant Signature = In consideration of this membership application, I/we agree to abide by the the association constitution and bylaws.Print your nameEvents Attended *Please enter Dates events attended. 1. 2. 3. Where did you hear about our AssociationSubmit
