We are pleased that you have elected to become a member of one of the most active Corvette clubs in the area -- The Kansas City Corvette Association.
We are pleased that you have elected to become a member of one of the most active Corvette clubs in the area -- The Kansas City Corvette Association.
To join, please fill out the form below, print it and mail it with
your $60.00 check (payable to KCCA) to:
KCCA Membership
5745 N. Drury
Kansas City, MO 64119
Or just come to our meeting on the second Friday of each month and sign up there.
You will receive a membership packet and information on our club events and discounts shortly after your membership information has been received. If you have any questions please feel free to contact one of the club officers.
| Name: | |
| Spouse's Name: | |
| Address: | |
| City, State, Zip: | |
| Home Phone: | Cell Phone: (optional) |
| Email Address: | Alternative Email Address: (optional) |
| Today's Date: | |
| If you entered an E-mail address you will receive your newsletter via E-mail. To receive a newsletter via USPS, please check this box -- Please help us keep expenses down by only requesting a mailed copy if you do not have an E-mail address. | |
| Date of birth (month/day): | |
| Spouse's Date of birth (month/day): | |
| Wedding Date (mm/dd/yyyy): | |
| Employer: (optional) | |
| Spouse's Employer: (optional) | |
| How did you discover KCCA?: | |
| Corvettes Currently Owned: | ||||
| Year | Model | Color | Specialty (Z06, ZR-1, etc) | |
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