VCVC Membership Application

Vintage Chevy Van Club Membership Application 2023
Name*

First NameLast Name
Username*
If renewal, please use same username as before.
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Address*

Street Address

Street Address Line 2

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Postal / Zip CodeCountry
Phone Number

Area CodePhone Number
E-mail*
Tell us about your van!
Year:
Make:
Model:
Wheel:
Wt.:
Engine/Trans:
VIN: (optional)
Other Vans/Notes:
Pay VCVC Dues via Paypal:

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USDPay Dues: $16
Other information:

VCVC Membership Application is considered complete once we receive your dues. Dues can be paid via paypal after hitting the submit button on this page. Membership dues are $15 (+ $1 to cover paypal fees) per CALENDAR YEAR, renewable each January. Please note that you will have to register on our community forum for access. Please use the same username for both club membership and community forum. www.vcvc.org
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Vintage Chevy Van Club Membership Application 2023