UNIVERSITY OF OKOBOJI CORVETTE CLUB
P.O. Box 921
OKOBOJI, IA  51355-0921

MEMBERSHIP APPLICATION
Thank you for your interest in the University of Okoboji Corvette Club.  Memberships are for the calendar year.  If you join after October 1 your dues are paid through the following calendar year.  Please print this form, fill it out and mail it to the above address with a check for $40.00. 
PERSONAL INFORMATION

NAME _________________________________________________________________
                                  
LAST                                 FIRST                         INITIAL

SPOUSE/FRIEND ______________________________________________________
                                  
LAST                                 FIRST                         INITIAL

ADDRESS_____________________________________________________________
                                                        STREET/BOX NO.

  ______________________________________________________________________
                                   CITY                                  STATE                ZIP CODE

TELEPHONE NUMBER _________________ TODAY'S DATE _____________

E-MAIL ADDRESS ______________________________________________

CAR INFORMATION
#1 #2

______________________________
YEAR

______________________________
COLOR

______________________________
COUPE/ROADSTER

______________________________
PERSONAL PLATE


______________________________
YEAR

______________________________
COLOR

______________________________
COUPE/ROADSTER

______________________________
PERSONAL PLATE