THE CLASSIC CORVETTE CLUB UK
the club for all Corvette Enthusiasts
Telephone 01702 200881
Send completed application forms to :
Andy Greenfield / Sue Curtis
17 Sudeley Gardens
Hockley
Essex
SS5 4XQ
England

CLUB APPLICATION FORM

 

PERSONAL DETAILS

 

Name ___________________________

 

House Name____________________________

 

No./ Street____________________________

 

Town_____________________________

 

County _____________________________ Country_______________________

 

Post Code _____________Telephone Home_____________

 

Occupation______________ Work_____________

 

Age______ Fax_____________

 

CORVETTE DETAILS -Please include a non returnable photo if possible-delete as appropriate if you have no objections to us using this picture in the magazine yes/no_

 

Vin/Chassis No._____________Date Imported____________

 

Registration No._____________Date Purchased____________

 

Body Type –Coupe/T-Top/Convertible___________________Previous Owner____________

 

Year_______________Transmission Auto /Manual_

 

Colour_______________Engine Cubic Inch____________

 

Engine No._____________Engine Code (L98 etc)____________

 

Is there any help you might be able to offer the club ?______________________

 

___________________________________________________________________

 

 

The club year runs from May 1st to April 30th and the membership fee is £27.50 or £15 for those joining after 1st November

 

Signature_______________Date_____________

 

 

Cheques to be made payable to CCCUK