THE CONTEMPORARY HISTORICAL VEHICLE ASSOCIATION

(C.H.V.A.)

If you enjoy driving your old car, come join us on our tours.

Ownership of a Collector Vehicle is NOT required for membership

MEMBERSHIP APPLICATION        Date __________________

Name______________________________________Spouse_________________________

             Address___________________________________________________________________

City/State/Zip_______________________________________________________________

 Birth Date_____________________________ Spouse Birth Date______________________

Anniversary ___________________________ Membership # (will be assigned by National) __

Phone _______________________ Email _________________________________

Collector Vehicles Owned          Year          Make          Model          Style        #Cyl.

                                                              __________________________________________________

                                                             __________________________________________________                                                                                                                    

            Sponsoring Member______________________________________________

             National Dues are $25 (includes subscription to Action Era Vehicle magazine)

                  (April – June $18.75 / July – September $12.50 / October – December $11.25)

             Local Dues are       $15 (includes monthly newsletter)

                                              $40   Please make check payable to C.H.V.A.

Membership is January 1^st to December 31^st ……………Life Membership $300 (National)

Mail completed application and check to:

 David Wibbels, CHVA Membership

P.O. Box 34

Cartersville, GA. 30120

               Are you a specialist in any year, make, or model? ______If yes, which _________________

               Are you willing to be listed as a technical advisor for this vehicle? _______

              Would you like to be listed as a CHVAID volunteer? _______

             Would you like to receive your newsletter by Email? _______

           
If you have any questions, please contact David Wibbels – 770-769-4181
or

www.chvaga@aol.com