Kettle Moraine Corvette Club by KJ99yUE

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									                                    Kettle Moraine Corvette Club Ltd.
                                               ** Founded in 1969 **
                              Post office Box 621, Sheboygan, WI 53081-0621

Kettle Moraine Corvette Club Application for Membership

The Kettle Moraine Corvette Club (KMCC) requires that all of its members also become a member of the National
Council of Corvette Clubs (NCCC) and as such you much be 18 years of age to join. Our club also requires that
prospective members attend one monthly business meeting prior to membership.

Name: _________________________________ Spouse’s Name: _______________________________________

Address: _____________________________________________________________________________________

City: ______________________________________ State: ________ Zipcode: ____________________________

Home phone: (    ) _________________ Birthday: _________________ (date/year) Spouse _________________
                                                                                    (If a paying member)
Email address: ______________________________________________________________

Are you a current member of the NCCC yes or no. If yes, enter NCCC number ____________________________


                                   Description of Corvettes You Currently Own
Year / Model                  Body Style          Eng / Transmission type              Lic Plate#

__________________            ___________        ____________________                  _________________

__________________            ___________        ____________________                  _________________

__________________            ___________        ____________________                  _________________


Please list any skills or interests you have that may be helpful to this club. __________________________________
______________________________________________________________________________________________

Why do you want to join the Kettle Moraine Corvette Club? ______________________________________________
______________________________________________________________________________________________

Membership Dues breakdown:
                                                        Retained by KMCC      NCCC
First year member:   $60.00                             $25.00                $35.00
Annual renewal:      $50.00                             $25.00                $25.00
Spouse:              $35.00                             $25.00                $10.00

Make all checks payable to Kettle Moraine Corvette Club Ltd
Please bring this complete application to our next monthly business meeting. Date: ______________________,
Time: __________________, Location __________________________________________________________

Signature of applicant:___________________________________ Date: ____________________________
                       I certify that I am at least 18 years of age

								
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