GOPHER STATE CHEVYS

GSC MEMBERSHIP APPLICATION/RENEWAL

 

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Using the options below, you may either (1) download the membership application/renewal form to your computer for printing and mailing, or (2) fill out the form on-line and transfer electronically to the Membership Chairman by then pressing the 'send' button at the end of the data entry format.

NOTE:
At the present time your annual dues must be sent separately to our P.O. Box or remitted in person to the club Treasurer or Membership Chairman.


Annual dues are $20.00 payable each April 1st.
Make checks payable to Gopher State Chevys and mail to:


GOPHER STATE CHEVYS
P.O. BOX 120561
NEW BRIGHTON, MN 55112


MEMBERSHIP APPLICATION/RENEWAL FORM

Document
CLICK HERE TO DOWNLOAD THE APPLICATION FORM
TO FILL OUT THE FORM ON-LINE ----
ENTER FORM INFORMATION BELOW:

First Name
Last Name
Spouse / Other
Address Line 1
Address Line 2
City
State
Zip Code
Daytime Phone() -
Evening Phone() -
E-mail Address
Comments
Chevy #1
Chevy #2
Chevy #3
Chevy #4
Other Vehicles

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