Welcome to Tidewater Corvette Club Membership Application page.
This page is used for New Member Applications and for
existing member renewals.

Please complete the form in its entirety and hit the Submit button at the bottom.
Someone will contact you with in a few days.

Membership Application

* Name:

Spouse

* Address:

* City:

* State:

* Postal Code:

* Email Address:

* Spouse Email

* Home Phone:

* Cell Phone:

* Member Birthdate:

* Spouse/Significant Birthdate:

* Spouse Cell Phone

* Anniversary

* Corvette Year:

* Color

* Body Style

* 2nd Corvette

* Color

* Body Style

* Did a Club Member Refer You?

* If referred, name of member

* Ever been a member of a Corvette Club

* If so, name of the Corvette Club

* Membership Type:

New Membership

Membership Renewal

* Shirt Size

* Shirt size

Formatted Text

* Indicates Response Required

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