Membership Application - New and Renewal
DACC Dues are $20.00 per year for both new members and renewals.
Print this form, Fill it in, and mail it with your check to
Detroit Area Corvair Club
Clark Hartzel
16911 Anita
Fraser, MI 48026
E-Mail Clark
Name ________________________________ Home Phone ________________________
Address ______________________________ Work Phone _________________________
City _________________________________ Work Phone _________________________
City, State, Zip ________________________________________________________________
Other club affliations ___________________________________________________________
Your Corvairs
Number of Corvairs presently owned? ____________
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Would you be willing to serve in an offical capacity or as a board
member? ____________ (yes,No,Possibly)