Please 'print' this page and mail it in....remember to make an extra copy for a friend!
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Application for membership in the

AMERICAN CHEVELLE ENTHUSIASTS SOCIETY


Name______________________________ Phone____________________



Address____________________________________________________



City____________________ State________________ Zip__________



E Mail Address____________________________________( if applicable )



Year, Model, and description of your Chevelle(s) 


______________________________________________________________


______________________________________________________________


______________________________________________________________


______________________________________________________________



_____ Enclosed is $40 for regular membership (US only)


_____ Enclosed is $50 for Canadian membership (US funds only)


_____ Enclosed is $70 for foreign membership (US funds only)
Make checks or money orders payable to:
American Chevelle Enthusiasts Society
4636 Lebanon Pike, Suite 195
Nashville, TN 37076-1316
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