APPLICATION FOR MEMBERSHIP
1 July 2017 to 30 June 2018 $40.00

To assist our maintaining accurate Club records, would you please complete all of the panels clearly, and return with your payment to:

The Membership Coordinator - Capital Corvette Club Inc, 76 Barnard Street, Wadestown, Wellington, or email

Full Name:
Wife/Husband/Partner’s Name:
Street Address:
Postal Address (if different):
Post Code
Home Ph #:
Work Ph: #:
Mobile Ph #:
Email address:

If you have an email address, please supply it as many Club event reminders are

sent via email.

Payment options

Make payable to Capital Corvette Club Inc

Cash:
Cheque:
Online:

Online payment to Capital Corvette Club Inc - Westpac Bank Acct 03 0515 0302729 00

quoting your surname as a reference.

An updated membership list is circulated on a regular basis. To ensure compliance with members’ security of personal information, please ensure that information contained therein is not shared with outsiders.

This list contains members’ names, contact details and car details.

FOR PERMISSION TO USE THIS INFORMATION, PLEASE SIGN OR TYPE IN

YOUR NAME BELOW.

SIGNATURE OR NAME:
Primary vehicle
Colour of Car:
Rego Number :
Year of Car:
CU IN/HP:Roadster / Coupe:
Auto / Manual:
Are you currently or have been a member of any other car/motorcycle club.
If so which club/s

Comments: We welcome feedback or suggestions relating to our Club.

Please read as this affects your application status

We welcome you to Capital Corvette Club as a probationary member and we look

forward to your company. As a probationary member you must attend three events or meetings before being considered for full membership.This is to ensure that we meet your expectations, as well as assuring other Club members that you will contribute in a positive way to the brand that is Capital Corvette. After attending the three events and barring any issues or problems, you will move from being a probationary member to full Club membership.

CORVETTE - “Save the Wave”