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NATIONAL AFRO-AMERICAN
CORVETTE CLUB
www.naacc.net

I hereby apply for Membership in the National Afro-American Corvette Club for Corvette owners only. I will obey the rules and regulations set forth by the Board of Directors as allowed by the Club By-Laws.

Name______________________________________DOB M/D/Y_______________________

Spouse_____________________________________DOB M/D/Y_______________________

Address____________________________________________________________________

City_________________________________________State____________Zip____________

Phone: (Home) ________________________________Cell___________________________

Email Address_______________________________________________________________

Year Model Corvette Year____________Model____  Coupe____Conv____Hard Top____T Top

How did you hear about the NAACC_______________________________________________

I wish to be contacted by the nearest local NAACC Chapter Club or Rep___Yes____No

I understand that my name and other in formation may be given out to other members for the express purpose of contacting fellow members in a given area. I also understand that this information may be given to Local Chapter members for use in membership verification. This information will NOT to sold to any outside companies.

Annual Dues vary by Chapter.  Contact your local chapter for dues information.  If there is no chapter within 50 miles of your city, send $20.00 Twenty Dollars for the National Membership. Make Checks Payable to “NAACC” .


Signed___________________________________________Date_____________

MAIL TO:

NAACC PO BOX 211
Missouri City , TX 77489

DON'T BE A CORVETTE OWNER, BE A CORVETTE ENTHUSIST!
JOIN NAACC