Membership Application - New and Renewal
DACC Dues are $20.00 per year.
Print this form, Fill it in, and mail it with your check to:
Detroit Area Corvair Club
Michael Hurt - DACC
1795 Ring O Kerry
Milford, MI. 48381
Name ___________________________________________________________________
Address __________________________________________________________________
City, State, Zip __________________________________________________________________________________________________________________________
Home Phone ________________________________________________________________________ Cell Phone ______________________________________________
Email Address ___________________________________________________________________________________________________________________________
Other club affiliations ______________________________________________________________________________________________________________________
Your Corvairs
Number of Corvairs presently owned? ____________
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Would you be willing to serve in an official capacity or as a board member? ____________ (yes, No, Possibly)