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Fill in the blanks and print. Bring with you to Eureka Springs. |
MEMBERSHIP REGISTRATION |
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| Name: | |||
| Mailing Address: | |||
| City, State, Zip; | |||
| New Mailing Address? | |||
| Telephone: (including area code) | |||
| Club Affiliation: | |||
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| Membership/Registration includes all scheduled events ($40) | |||
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Do you want to put your car in the Owner’s Choice Car Show? Limited spaces. |
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| Signature: |
______________________________________ |
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| Date: | __________________ |
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| Color and year of Corvette | |||
| State and License Tag Number: | |||