Last Name _______________________________________ First Name _________________________
Street ____________________________________ City ________________________________
State_______ Zip__________ Phone # _(_______)______________________
Email_____________________________________________________________________
Alternate Email _____________________________________________________________
What year SVO?__________ What color?_______________________
leather?_____________ sunroof?_______________ bi-wing delete?_____________
Comp-prep?___________ daily driven?______________ mileage?_______________
Do you race it?_________ if so, what kind of racing (ie:solo I or II, or drag racing)_________________
Forum Screen Name _____________________________________________
interesting history: (ie: former pace car or promotional car - or has race history - etc)
modifications: (use back of page is necessary)
would you like your name published in the club roster? y / n
Mail your annual $30 dues to:
SVO Club of America
P.O. Box 100982
Irondale, AL 35210
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _below line is for official use only_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Dues paid on____________membership renewal date_____________________Board member?_____________