Just
print this page,
fill-in the information requested and mail it with your check
to: Nor-Cal ChevelleCamino Car Club P.O. Box
36046 San Jose, CA 95158
You will receive confirmation of your
membership in the mail.
New
Member or Renewal ______________________ Newsletter
Email/Reg Mail _____________
Member's
Name:________________________________________Birthday __________________
Co - Member: __________________________________________Birthday__________________
Address:_______________________________________________________________________
City:_______________________________ Zip:__________ Phone:
( ____ )_________________
Email Address: __________________________________________________________________
Model and Year Chevelle(s):________________________________________________________
Signature:______________________________________________
Date:___________________
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