Membership Form

Personal Details

First name

Last name

Phone

Email

Address

Street Address / City / Zip Code

Shirt Size

Birthday

Month

Day

Year

Corvette Details

Year

Color

Convertible or Coupe

Convertible

Coupe

Custom Modifications or Features (if applicable)

Membership Details

Annual dues are $35 Individual or $50 for Couple. Amount decreases by 50% after June 30th.

Payment Options

Check: Payable to Street Elite Corvette Club. Checks and cash can be brought to the next meeting and handed in at that time.
Online Payment with "Cheddar Up". Payment page will open upon form submission

Membership Type

Individual

Couple

How did you hear about us?

Google search, car show, current member, etc.

Where you referred by a member? If so, who?

Why do you want to join Street Elite Corvette Club?

Tell us a little about yourself and your Corvette experience. Be sure to include one interesting fact that most people don’t know about you. What you share will help us complete your member bio for the website.

Agreement and Consent

I agree to abide by the club’s bylaws and code of conduct, consent to receive club communications by email and text, and authorize the use of my image and my Corvette’s image in club publicity materials.

Signature

Type your full name

Today's Date

Month

Day

Year

Click Here For Printable Form

Membership Form