Membership Application
Date of Application:_____________________
Applicant's Name:_______________________
Spouse's Name:_________________________
City:_____________ State:___ ZIP:________
Birthday:_______ Spouse's Birthday:________
Anniversary:________
Corvette
Information:
Year:_____ Model:________ Color(s):__________
Year:_____ Model:________ Color(s):__________
Interest: (check all that apply)
Show
Restoration
Cruises
Rally
Racing
Other ______________
How did you find out about FCO??___________________________________________________
_______________________________________________________________________________
Membership is limited to Corvette owners and their spouses or significant others.
The
annual dues are $48.00 (prorated) per household.
Upon acceptance of your application you will become a full voting member.
Please Print and Mail to: FCO, P.O. Box 53, Mystic, CT 06355
