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" - Coming Soon

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