Corvettes of the North Application
C/O Ron Hilgart
3403 Pelot Lane
Milladore, WI 54454
Name _________________________________________ Birthday ___________________
Address _________________________________________________________________
City _______________________________ State _______________ Zip _____________
Phone Daytime ____________________________ Evening __________________________
Email address (for communications only) _____________________________________
Car Information (year, body style, engine, color)
CB call letters or handle (if you have one) ________________________________________
Spouse _________________________________________ Birthday _________________
Children & ages __________________________________________________________
________________________________________________________________________
Signature ____________________________________________ Date ________________
Please print this page, fill it out and enclose the $25 membership fee per year, prorated, and a
$20 one time initiation fee (checks to Corvettes of the North) to the above address. If there are
any questions, please use the link on the top left.