Membership Application

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:

Brenda Morris, 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 Brenda Morris – 770-386-4437
or
geminimay25@comcast.net

Visit us on the web at www.chvaga.com