ON-LINE APPLICATION

Membership Application for 2017.  Printable Application Available - See tab marked Membership Application

* Required fields
Name *
E-mail Address *
Date: *
Address *
City / State / Zip *
Phone No. *
Cell #
Birth Month & Day
Occupation or Business
Name Of Spouse
Birth Month & Day
No. Of Corvettes *
Year
Body Type
Engine CI
Transmission Type
Exterior Color
Interior Color
Special Features
Year
Body Type
Engine CI
Transmission Type
Exterior Color
Interior Color
Special Features
Are there any special events that you would like to see the club hold or develop?


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Thanks for your interest in the Altoona Corvette Club.

Please send a picture of your car(s) for our records. It is better if the picture includes the owner(s). These pictures may be used in future club publications and the Internet membership directory.

Make payment for membership payable to:  The Altoona Corvette Club

Please forward membership payment and pictures of your car(s) to:

The Altoona Corvette Club

P.O. Box 15

Hollidaysburg, PA  16648