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
Rich Blanchard
4776 Granger Rd.
Oxford, MI. 48371-3304
E-Mail Rich
Name ________________________________ Home Phone ________________________
Address ______________________________ Cell Phone _________________________
City, State, Zip ________________________________________________________________
Other club affliations ___________________________________________________________
Your Corvairs
Number of Corvairs presently owned? ____________
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Would you be willing to serve in an offical capacity or as a board
member? ____________ (yes,No,Possibly)