River City Corvette Club, Inc.

Chattanooga, TN

New Member

Registration Form

(Dues are $40 annually, payable upon joining and run January - December)

 
            
 Name 
      Birthday (month/Day)

 Spouse/Partner Name     Birthday (month/Day)

 Address  

 City   State    ZIP 

 Home Phone               Cell Phone

 E-mail address 


 Year Corvette    Coupe/Conv   Color   Years Owned   
 Year Corvette    Coupe/Conv   Color   Years Owned   

  

 

By submitting this registration I agree to abide by the River City Corvette Club Inc. by-laws & Code of Conduct.

In consideration of my membership, I do hereby agree to indemnify and hold harmless the River City Corvette Club Inc., any of  its members, officers, directors, organizers, associates or the like for any injury or damage however caused, which may result from my participation in any event sponsored or co-sponsored by the River City Corvette Club Inc., I also agree to indemnify and hold harmless the River City Corvette Club Inc., its officers, directors, organizers, associates or the likefrom any actions of and by any of my passengers, drivers or third parties that may arise as a result of my participation in any event sponsored or co-sponsored by the River City Corvette Club Inc. I also agree to obey all applicable vehicle laws and principles of safe driving.


                  



Registration is not complete
until payment is made.