MEMBERSHIP INFORMATION

Registry of FEMALE Corvette Owners Membership Application Form

 

 If you are interested in joining the Registry of FEMALE Corvette Owners, simply fill out the information below and EMAiL to  donnalit@hotmail.com

 or fax to 803-732-3163 Attn:  Registry of Female Corvette Owners

 

 

Member Information

Name: (First, M., Last)

 

Spouse/Significant Other

 

Street Address

 

City, State, Zip

 

Optional - Home Phone

 

 Optional - Work Phone

 

Optional - Cell Phone(s)

 

Birthday- month/day

 

E-Mail Address

 

Preferred name for Name Tag

 

Your Corvette Information

Description

Corvette #1

Other Corvette (s)

add space as needed

Year

   

Body Style (Coupe, Roadster/Convertible, Hardtop)

   

Color (Exterior/Interior)

   

Engine (235, 265, 283,327,350,383,396,427,454)

   

HP (Horsepower Rating )

   

Transmission: (Standard 3-4-5-6 Speed, or Automatic)

   
Other Special Features or Modifications    

Other Special Features or Modifications