New Member Application – Muskego Corvette Club

New Members Application

Terms:

$52 / Year

First Name:* First Name Required

Last Name:* Last Name Required

Address Line 1:* Address Line 1 is Required

Address Line 2: Address Line 2 is not valid

City:* City is Required

Country:* Country is Required

State/Province:* State/Province is Required

Zip/Postal Code:* Zip/Postal Code is Required

Spouse Name: Spouse Name is not valid

Spouse Email: Spouse Email is not valid

Spouse Phone: Spouse Phone is not valid

Car Model & Year:* Car Model & Year is Required

Photo of car: Photo of car is not valid

Member Phone: Member Phone is not valid

Email:* Invalid Email

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Terms: $52 / Year

Description	Amount
Club Membership – Initial Payment	$52.00
Total	$52.00

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