New Membership Application

New Member Application Information

We encourage you to come to a meeting before submitting the New Member Application to be sure we are the right club for you, to get to know us and to learn more about the Club.

All new members must attend a meeting, before or after submitting this application, prior to being granted access to the Member Area of the site.

Personal Information
Member Name*
Please use the preferred name as you would like to see it on the club name badge.
First Last
Spouse/Companion Name
This is for a non-member spouse/companion. If you would like your spouse/companion to be a member, please have them apply separately and select the reduced rate spouse/companion option below under Membership Options.
First Last
Address*
Street Address City State Zip
Cell/Mobile Phone
Home Phone
Email*
Corvette(s) Currently Owned
Images of your car(s) may be added in the Member Area after you are approved for membership.
Car 1 Year
Car 1 Description
30 character limit
Car 2 Year
Car 2 Description
30 character limit
Car 3 Year
Car 3 Description
30 character limit
Car 4 Year
Car 4 Description
30 character limit
Account Access
Set Your Account Password*
Your username will be your email address
Enter Password Confirm Password
Membership Options
Membership Fees*
Primary members and spouse/companion members should apply separately. Spouse/companion members should select one of the spouse/companion options below.
- New Membership Dues (includes membership in the NCCC) $50.00/yr
- New Spouse/Companion Membership $10.00/yr
- New Spouse/Companion Membership plus membership in NCCC $20.00/yr
Club Name Badge
- Purchase Club Name Badge $10.00
Membership Price*
Price: $0.00
Membership Total
$0.00
Payment Type*
- Pay by Check or Cash
- Pay by PayPal or Credit Card
On clicking Submit, you will taken to the PayPal site to enter your payment information.
You will receive a notice when you have been granted access to the Members Area portion of the site.
Submit the form then pay by check or cash for the amount above. Make checks payable to:
Corvettes International
Bring your check or cash to a meeting or mail to:
Corvettes International
c/o Lowell Bonnett
7608 Southwick Ct
Wake Forest, NC 27587
You will receive a notice when your payment has been received and you have been granted access to the Members Area portion of the site.
Email
This field is for validation purposes and should be left unchanged.

New Member Application Information

Personal Information

Corvette(s) Currently Owned

Account Access

Membership Options

Club Sponsor

Who We Are

Proud Member and Supporter