Tri-Cities Corvette Club
Membership Form
January 1, 2008 - December 31, 2008
Member Name_________________________________________
Member Name_________________________________________
Member Name_________________________________________
Address _________________________________________
_________________________________________
Phone Number_________________________________________
Fax Number _________________________________________
E-Mail Address_________________________________________
Year of Car(s) ________ ________ ________ __________
Hobbies __________________________________________
Signature _____________________ Date _____________
See Our Current Calendar of Events, Meeting Schedule and Activities @
www.tricitiescorvetteclub.com
Web Site Maintained by
Rick Houser
(423) 817-1799
Rick.Houser@qrcllc.com
2008 Officers
President - Jim Embree (423) 968-5550 or (423) 538-6776
Vice-President - Eddie Conner (276) 669-0297 or (276) 366-7922
Secretary - Cindy Larkin (423) 967-8686
Treasurer - Pat Ball (276) 466-4009 or (423) 306-4460
Advisory Board - Gary Malcolm (423) 764-5417
Curtis Mink (423) 646-7868
Please return completed form and check/dues made payable to Tri-Cities Corvette Club (TCCC) to:
Pat Ball - TCCC - 403 Old Abingdon Hwy. - Bristol, VA 24201
Single Membership - $45.00* / Family Membership - $60.00* (*Includes NCCC Dues)
Membership Dues are Due by November 1st of Each Year.
Dues Paid After 9/1 of Each Year Entitle You to Membership Through December 31st of the Following Year
