National Council of Corvette Clubs, Inc
Membership Application for Corvette Clubs
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Any such Club must have and maintain a minimum of twelve (12) NCCC Members. 50% or greater of the membership must be primary Members of NCCC. The remainder must be spouse / companion or dependent Members of NCCC. Clubs with 24 or more Members must maintain the greater of 51% of its membership as Members of NCCC. Corvette Clubs interested in joining NCCC should fill out
and mail this Form. Please Print or Type all information: Name of Club: __________________________________________________________ Number of Members that would be Primary Members: ____________________________ Number of Members that would be Spouse/Companion Members:___________________ Number of Members that would be Dependent Members:__________________________ The Club's Mailing Address:
_____________________________________________________ The Club's Home City (if other than city in mailing address): ______________________________ The Name and Address of Club Contact Person:
______________________________________
Contact Person's Phone Number: (____) ____________ Fax Number:(____) ____________ Contact Person's E-mail Address: _____________________________________________ Club Web Site (if applicable): ________________________________________________ Form submitted by: _______________________________ Phone No. (_____) _______________ _______________________________ Phone No.
(_____) _______________
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