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Welcome to the Michigan Chapter of SOLID AXLE CORVETTE CLUB                         
SACC National website for more info: solidaxle.org         Mi SACC website: www.solidaxlecorvettemi.com

Michigan Chapter SACC Membership or Renewal Application - New Member ___Renewal___Year: 20___SACC#_____
Michigan Chapter Membership requires membership in the National SACC organization.
For record keeping purposes Mi SACC collects both National and Chapter dues and submits your National dues to SACC National.
                                                                                                                                                                                1 year        Michigan Chapter dues, renewable December 1st:                                                                                      $15.00       
Michigan Chapter SACC windshield decals: ____ decals @ $5.00 each:                                                 ________ 
National SACC dues, renewable December  1st :                                                                                           $45.00    
includes four (4) issues on ON SOLID GROUND                                  
                                                                                                                                                                   Total :   ________ ______
Mi SACC and National SACC yearly dues are due on Dec. 1. 
Chapter dues include our quarterly Chapter Newsletter “Michigan” delivered via email
National Membership includes the quarterly magazine “On Solid Ground” mailed a hard copy
SACC National publishes an annual membership & roadside assistance roster. The roster contains names, phone numbers, city & state, but no street address. It also has a field to indicate that you are willing to help if a traveling SACC member needs roadside assistance in your area.
Do you agree to have your name listed in the roadside assistance roster: YES ______ or NO _____ Please check Y or N
 
FAILURE TO INITIAL ABOVE INDICATES YOUR PERMISSION TO BE LISTED IN THE ROSTER.
 
If you are a new member: SACC National will send you a National member number separately.
If you are an existing National member please insert your National member #____________
 
Please make check for both National and Mi Chapter payable to: Mi SACC and mail to:
Paul Lemieux, MI SACC Treasurer, 403 Loris Lane, Oxford, MI 48371
Questions: MI_SACC@yahoo.com
Applicant Name __________________________Co-Applicant:___________________________Date:___________
Address ____________________________________________________________________________________
City __________________________________________________________ State: _______ Zip:_____________
Home phone__________________________________Work/Cell:________________________________________
E-Mail _________________________________________________________________________________
Corvettes presently owned - please include the VIN # for all C-1’s___________________ ___________________ ____
I will enjoy participating in these club activities: Driving tours___ Get away weekends ___Car collections ________
Museum tours ____ Historic site/shop tours ____ Car Shows ____ Tech sessions ____ Race events_______________
Newsletter Contributions ____ Tour/Event Planning ____ Other____________________________________________
Suggestions for events or cruise ______________________________________________________________________
I would be interested in assisting with the planning events, activities or seminars    Yes____ No____
We will never share your personal information with anyone other than SACC members. If you do NOT WANT your info shared with SACC members > PLEASE CHECK HERE______.
THE MISACC NEWSLETTER "MICHIGAN" IS DELIVERED VIA EMAIL. DUES ARE SET ACCORDINGLY.

Signature:_________________________________________ Date:______________________________________
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