Greater Moncton Corvette Club

  Membership Form

$30 Membership Fee

First name:

Last name:

 Partner
First name:

Last name:

Address:

City:

Postal Code:

Telephone Number:

Mobile \ Work Telephone Number:

Email:

 

Vehicle Information

Year: Style: Color:

 

For more information contact/Pour de renseignments en français, contactez:

monctoncorvetteclub@gmail.com 

* Please be assured that your e-mail will be used for club activities only. 

You may bring this form with the $30 membership fee to our meetings or mail to our

Treasurer:  

Tom Osler, 59 Kay Rd., St Antoine, NB  E4V 2Y7

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