Californa Stingrays Car Club Online Membership Form
Please complete this online membership form so we can contact you with the latest news and information related to the activities of the California Stingrays Car Club. Once we have received your membership form you will receive a invitation to join the California Stingrays Email Group.
APPLICANT INFORMATION
Name *
Email Address *
Phone Number *
Date of Birth *
Street Address *
City *
State *
Zip Code *
Location (City or Metro Area) *
Your Location is in: *
CORVETTE INFORMATION
Driver Lic. No. and State, if not California
(Optional)
Ins. Provider *
Corvette Forum Username
(Optional)
C3 Vette Year(s) You Own and Color(s) *
EMERGENCY CONTACT INFORMATION
Name
(Optional)
Relationship
(Optional)
Phone
(Optional)
SPOUSE INFORMATION
(if joint membership)
Name
(Optional)
Date of Birth
(Optional)
Driver Lic. No.
(Optional)
Phone
(Optional)
Membership Agreement
As of October 1st, 2012 there are no membership dues.

Member agrees to the following:

Must be 18 years of age.
Must possess a valid Driver’s License.
Must possess and maintain auto insurance.
Membership Agreement Requirements *
By checking the "I agree" box below and submitting the form, you are agreeing to the terms of membership listed above.
Required
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