CHICAGOLAND NORTH CORVETTE CLUB

Membership Application

Information will not be shared outside of the club.

Name    ______________________Spouse_____________________

Address ________________________________________________

City____________________________  State ____  Zip __________

E-Mail (very important)______________________________________

Phone Number _________________________________________

Your Corvette Information

Year________ Body Style _______ Color ______________________

Year________ Body Style _______ Color ______________________

Please list additional Corvettes owned below or on a separate sheet of

paper and attach to application. If you have some personal history about your Corvette(s) please include with your appilcation.

Annual dues are $30 and are due February 1st.   

Bring your application and dues to a Club meeting. Or mail to:

CNCC, Suite 420, 1500 Skokie Blvd., Northbrook, Il 60062.

The general meetings are held on the last Thursday of the month at Mr. Beef and Pizza, 1796 S. Elmhurst Rd. Mt. Prospect, IL  dinner at 6pm meeting at 7pm with some seasonal exceptions

Paul Urso - Membership Chairman
847-682-7629 or psurso@aol.com