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Hoosier State Chevelle Association (HSCA)
Application for membership in the Hoosier State Chevelle Association (HSCA)
Name:______________________________________ Phone:___________________
Address:_____________________________________________________________
City:____________________________ State:_______________ Zip:____________
E Mail Address:____________________________________ (if applicable)
Year, Make, Model, and Description of your Chevelle(s):
____________________________________________________________________
_______ Enclosed is $15 for new membership Make check or money order payable to:
_______ Enclosed is $10 for membership renewal Hoosier State Chevelle Association
P.O. Box 1221
Martinsville, IN 46151
______________________________________________________________________________
American Chevelle Enthusiast Society (ACES)
Application membership in the American Chevelle Enthusiasts Society (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 a 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 order payable to:
American Chevelle Enthusiasts Society
2576 Memorial Blvd.
Springfield, TN 37172
(615) 643-2237
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