ANNUAL DUES

                                                              Date __________

 

Royal Corvettes

 

Member                                              $15.00   ___

Spouse                                                $12.00   ___

 

 

NCCC

New Member                                     $35.00   ___

Renewal Member                              $25.00   ___

Spouse                                                $10.00   ___

 

 

Name____________________________________________________________

 

Spouse___________________________________________________________

 

Address__________________________________________________________

 

              __________________________________________________________

 

Phone #__________________________________________________________

 

e-mail address____________________________________________________

 

Please bring this filled in with your payment to the next meeting or mail to

Bob Hartman: 1824 Channel Rd. Norton Shores, Mi. 49441