SCRVCCA Membership Application

* * * THIS FORM IS IN TEST MODE ONLY AND ISN'T READY FOR FORM SUBMISSIONS YET. * * *

SCRVCCA Membership Application

Club Membership Information:

REGION: All members receive a monthly region newsletter and information on upcoming events and tours.

NATIONAL: All new members will receive a club badge, decal, membership card and the national magazine, Generator & Distributor. Members are entitled to free classified advertising in the club magazine and participation in Vintage Chevrolet Club activities. Members are entitled to free classified advertising, access to member-only website features, and participation in all VCCA activities. Chevrolet ownership is not a requirement for membership. Dues are non-refundable.

The purpose of the VCCA is to promote interest in the preservation and restoration of vintage Chevrolets.

NOTE: FOR INSURANCE PURPOSES ALL REGION MEMBERS MUST JOIN NATIONAL IN ORDER TO
JOIN THE REGION. If you send the Region, your National dues, we will send them on to National.

NOTE: All data requests marked with an * are required fields.

Upon form submission, you can checkout and pay for your membership dues via PayPal. After your payment is processed by PayPal you will be auto-redirected back to SCRVCCA.org.

An auto-generated e-mail will be sent to your e-mail to provide you with a confirmation of the information you provided to us via this form.