HSCA Membership Application
(affiliate club of ACES)

Application for membership in the Hoosier State Chevelle Association (HSCA)

Name: ______________________________________ Phone: _____________________
Address:________________________________________________________________
City: _________________________ State: ___________________ Zip: _____________
Email Address: ____________________________________ ( if applicable )
Preferred Method of Receiving HSCA Newsletter (circle one)    Email      US Postal Mail
Year, Make, Model of your Chevelle(s)  (please include nickname for your car or vanity plate): ___________________________________________________________________
Other Classic car: _________________________________________________________
________________________________________________________________________

_____ Enclosed is $15 for a new one-year regular membership.
_____ Enclosed is $10 for a one-year membership renewal.

Make checks or money orders payable to:
Hoosier State Chevelle Association
P.O. Box 1221
Brownsburg, IN 46112  (or bring it with you to a club meeting)

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ACES Membership Application
(This is not required for HSCA, but a great club also)

Application for membership in the American Chevelle Enthusiasts Society (ACES)
http://www.chevelles.com/aces

Name: ______________________________________________ Phone: ____________________
Address: ________________________________________________________________________
City: _______________________________ State: ___________________ Zip: _____________
E Mail Address: ____________________________________ ( if applicable )
Year, Make, 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
900 Conference Dr Ste1-B #222
Goodlettsville, TN 37072
Phone:  615-643-2237