TO JOIN
(or
renew) ONLINE WITH CREDIT CARD ON OUR
SECURED SITE
CLICK
HERE!
or
use our PayPal and Credit Card Order Form
membership benefits (A
membership application in Adobe Acrobat (.pdf) format
is available by clicking here)
Membership
items:
click here
for a change of
address,
click here to add or change a car registration or
click here
to add a shop
recommendation
Fill out, print out and then
mail or FAX:
| CHEVY CLUB APPLICATION FORM (new memberor renewal) | |||||
| NAME: (member no. if known and if renewing): | |||||
| MAIL - STREET ADDRESS: | |||||
| CITY - STATE- ZIP | |||||
| COUNTRY (if not U.S.A.) | |||||
| PHONE(S): Home: FAX:
Other: email: (needed for eWorld) |
|||||
| One Year | $30 |
||||
| Two Years | 55 |
||||
| Three Years (with free t-shirt or tech CD*) |
80 |
||||
| One Year (Outside the U.S.A.) | $35 |
||||
| Two Years (Outside the U.S.A.) | 65 |
||||
| Three Years (Outside the U.S.A. with free t-shirt or tech CD*) |
95 |
||||
| One Year eMembership (receive eWorld and access to Members Only section of website which includes online World, tech staff contacts, etc., no membership materials sent via regular mail - this is included with all other memberships) |
$20 |
||||
| Two Year eMembership (see above for information) |
35 |
||||
| Three Year eMembership (with free t-shirt or tech CD*) (see above for information) |
50 |
||||
| You may pay using
your credit card: (charge will be to National Firebird Club) |
Visa | MasterCard | Discover |
American Express |
|
|
or use our PayPal and Credit Card Order Form |
|||||
| Credit Card No: | Expiration Date:
Security Code:
(email address required above if using credit card) |
||||
| Technical Sections ($10 + $ 5 S&H) - complete copies of Worlds including tech topics published from 1998 to 2007 by CC, on CD-Rom only in pdf format for PC or Mac. | |||||
We accept check or money order payable to the Chevy Club in U.S. funds only. Return this application and enclose payment info to : Chevy Club
TO JOIN
(or
renew) ONLINE THROUGH
OUR SECURED AREA
CLICK
HERE! |
|||||
| OPTIONAL INFORMATION Note: The ownership of a Chevy IS NOT a prerequisite for active membership. If a Chevy is owned, you may want to fill out the form below: | |||||
Year |
Serial# (VIN) |
Model |
Color |
||
|
|
|
|
||
|
|
|
|
||
THE FOLLOWING ARE ALL OPTIONAL INFORMATION: |
|||||
Areas of interest: |
|||||
Service, body or parts shop
info (include type of business, person to
contact, address and phone number): |
|||||
Send picture and/or story
about car: |
|||||
How did you first learn of
the CC?: |
|||||
![]()