2009 YVSCC Member ship Application
Name: _______________________________________________________________________________________________________
Spouse/Other: ________________________________________________________________________________________________
Street Address: _______________________________________________________________________________________________
City, State, Zip (Country): _____________________________________________________________________________________
Home Phone ( ) _____________________________________ fax: ( ) _____________________________________
Applicant E-Mail 1: ____________________________________________________________________________________________
Spouse/Other Email 2: ________________________________________________________________________________________
Providing the following information is optional. It will be published in the club roster
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Applicant |
Spouse/Other |
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Business Phone ( ) |
Business Phone ( ) |
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Occupation: |
Occupation: |
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Hobbies: |
Hobbies:
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Sports Car(s) currently owned: (use back page if more space is needed)
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Model Year |
Model |
Body Style |
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Please check any following interest:
____Rallies _____Helping with News Letter _____Technical/Restoration ____Tours _____Organization of an event _____AutoCross/Slalom ____Concours _____Other_____________ (party, dinner, etc.)
Annual Dues are $20.00 a year – for one or the entire family
I (we) wish to further the aims of the Yakima Valley Sports Car club, and if accepted for membership, do hereby agree to abide by its bylaws.
Signature_________________________________________ Date___________________________
Signature_________________________________________ Date___________________________
2009 Dues have already been paid $______________ Payment of 2009 dues (check or cash) $______________
Please mail applications and dues to: YVSCC, 502 North 18th Avenue, Yakima, WA 98902