• Greater Kansas City Area's active regional chapter for Chevelle, El Camino, & Sprint Enthusiasts!
  
• Membership $ 25 per year per family.
  
• Monthly meetings at Superior Chevrolet, Merriam KS - 7:00 pm.
  
• Monthly newsletter, details club activities, and upcoming events.
  
• Family fun, Cruises, Car Shows and more!
  
• "A merican C hevelle E nthusiasts S ociety" affiliated.
  

New _____________or   Renewal ____________ Member # _______ Date __________

NAME: __________________________________________SPOUSE:___________________

ADDRESS: _______________________________________________________________________

CITY: ____________________________________ STATE: _______ ZIP:_________

PHONE: _________________ CELL PHONE: _____________________

Email address____________________________________________

Your Chevelle(s) include Model, Color, How long you owed car, etc.: _______________________________________________________________________________________

_______________________________________________________________________________________

Your Interests (Choose as many as you like):
Cruising___ Car Shows___ Tech Info___ Tours___ Parties___ Other___ (explain)
_____________________________________________________________________________________

How did you find out about Mid America Chevelle Club?
___Internet ___Car Show Flier ___Club member ___Web site ___Business Card ___Newsletter ___Friend ___Chevelle Word Magazine ____ Radio TV ____ Other (explain)

Comments:
_________________________________________________________________________________________

SIGNATURE: _____________________________________________________________