Membership Form

Personal Details

First name

Last name

Phone

Email

Address

Street Address / City / Zip Code

Shirt Size

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"

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 bit about yourself and your Corvette experience. Include one interesting thing no one knows about you.

This will help us create your bio for the website

Agreement and Consent

I agree to abide by the clubs bylaws and code of conduct.

I consent to receive club communications by email and text.

I authorize the use of my image and my Corvette’s image in club publicity materials.

Signature

Type full name

Date

Month

Day

Year

Click Here For Printable Form