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 Lori Komora – DACC
38143
Richland St.
E-Mail
Lori Livonia, MI. 48150
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Name
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Address
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City,
State, Zip
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Home Phone
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Cell Phone
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Email Address
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Aircooler Monthly
Newsletter Via:
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Circle one: (Email only) (Post and Email)
Also, Add me to (eBlast)
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Other club affiliations
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Your
Corvairs
Number of Corvairs presently owned? ____________
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Year
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Model
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Body Style
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Condition
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Would you be willing to serve in an official capacity or as a board
member? ____________ (yes, No, Possibly)