Acadia Region Corvette Club (ARCC) Member Information Sheet Application Date: Membership Type: Family ($35 / Yr) Individual ($17.50 / yr) Name (1) Retired? Y N Birthday (MM/DD) Name (2) Retired ? Y N Birthday (MM/DD) Anniv. (MM/DD) Mailing Address City, State Zip Email Address(es) Home Phone Cell Phone Corvette Information (It is not necessary to own a Corvette to join ARCC, but if you do, please complete) Car 1 Car 2 Year Color Year Color Engine License Engine License Additional cars may be listed on the reverse of this form. Please complete this form and enclose the first year membership fee plus a one time $5.00 administrative fee. The completed form can be brought to a club meeting or mailed to: Dan Bossert, Treasurer ARCC 36 Salt Pond Road Hancock, ME 04640 Welcome to the Acadia Region Corvette Club. We look forward to getting to know you better and we hope you will enjoy participating in as many activities as possible. You will receive a Club Information Package, including by-laws and a club membership list with contact information for all members. Club meetings are smoke free and smoking is strongly discouraged at all club events.