); ga('send', 'pageview');
[[[["field59","equal_to","Yes"],["field59","equal_to","No"]],[["show_fields","field56"]],"or"],[[["field56","equal_to","Individual"]],[["show_fields","field6,field7,field8,field11,field57,field13,field19,field18,field16,field21,field22,field23,field24,field30,field32,field37,field36,field40,field43,field45,field47,field54,field52,field53,field58,field59,field56"]],"and"],[[["field56","equal_to","Individual and Spouse"]],[["show_fields","field59,field56,field6,field7,field12,field8,field11,field10,field14,field13,field19,field18,field16,field21,field22,field23,field24,field30,field31,field32,field37,field38,field36,field34,field40,field41,field43,field44,field45,field46,field47,field48,field52,field53,field58,field54"]],"and"],[[["field54","equal_to","Yes"]],[["show_fields","field50,field51"]],"and"]]
1
MEMBERSHIP APPLICATION

WISCONSIN CORVETTE CLUB, INC.

9620 South Veronica Drive

Oak Creek, WI 53154

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NCCC MEMBERSHIP NUMBER
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Primary
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Spouse
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Total Enclosed
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Spouse SignaturePlease Print Full Name
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PrimaryHome Phone
SpouseHome Phone
PrimaryCell Phone
SpouseCell Phone
PrimaryEmployer
SpouseEmployer
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The emblem of the Wisconsin Corvette Club, Inc. is the exclusive property of the Wisconsin Corvette Club, Inc. and its use is restricted to the Wisconsin Corvette Club, INc. and to the members in good standing of the Wisconsin Corvette Club, Inc. The use of the emblem in any fashion or of any emblem confusingly or deceptively similar in appearance and/or symbolism thereto by any other person, firm, club, or corporation without the express permission in writing of the Wisconsin Corvette Club, Inc. is strictly prohibited.

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