L.A. Classic Chevy Club Membership Application
Please print this form, fill out this form as completely as your can and mail it with your check or money order in U.S. funds to the Club address noted below:
L.A. Classic Chevy Club
Post Office Box 45-1955
Los Angeles, CA 90045-1955
All
l classic 1955-1956-1957 Chevy enthusiasts are invited to join our Club and receive its monthly newsletter, the Classic Hotline.The Club meets monthly (except December) on the second Sunday of every month, from 4 pm till 6 pm. No meetings in December.
The Club meetings are presently held at the
Automobile Driving Museum (ADM), 610 Lairport Street, El Segundo, CA 90205.ADM’s Phone: 1-310-909-0950.
The Club is affiliated with
Eckler’s Chevy Classics (Formerly Classic Chevy International). While highly recommended,membership in this fine organization is not required for membership in our Chapter. Ownership of a classic Chevy is also not
required, just an interest in these great vehicles from the fabulous fifties.
Club dues
are $30 per year for primary member only (renewal date: April 15th).Immediate family members residing at your address
: $5 each per year *(
* This is optional; benefits: Chapter voting/ be a member of the Board/ enter badge lottery/ share newsletter, etc.)Pro-rated dues:
October 15th - April 15th: $15.00 for primary member only/$2.50 per immediate family member.Canada & Mexico members please add $5 for postage. All other foreign countries please add $10 for postage.
LACCC Renewal? ____________ New Member? ______________
Date: _________________
Total U.S. Funds enclosed: ____________________Name: __________________________________________________________________________________________________
Spouse/family member/significant other: _______________________________________________________________________
Address: ________________________________________________________________________________________________
City: ____________________________________________ State: ________________ Zip Code: ___________- _________
Home phone: (_______) __________________________ Work phone: (_______) ____________________________
E-Mail Address: _______________________________________ Cell phone: (________) ______________________________
Member of Eckler’s Chevy Classics (CCI)? ____________ Member Number? _______________________________
Classic 1955-1956-1957 Chevrolets owned (with brief description of each):
1) ____________________________________________________________________________________________________
2) ____________________________________________________________________________________________________
3) ____________________________________________________________________________________________________
EMail us at LACCC MAIL