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IF YOU'D LIKE TO JOIN CLASSIC CHEVYS OF SOUTHERN CALIFORNIA,
PLEASE FILL IN THIS QUESTIONNAIRE AND RETURN WITH YOUR CHECK FOR $35 TO:
CLASSIC CHEVYS OF SO. CALIF. P.O BOX 7047, VAN NUYS, CA 91409
PLEASE CONTACT PRESIDENT WAYNE WALTERS WITH QUESTIONS (818) 352-7233
AND REFER TO "ATTENTION ALL CHEVY OWNERS - HOW TO BECOME A MEMBER"

NAME(S) _____________________________________________________________________________________

ADDRESS_________________________________________________PHONE #____________________________

CITY______________________________________STATE ________________________ZIP__________________

BIRTHDAYS: YOURS__________________________________SPOUSE _________________________________

WEDDING ANNIVERSARY______________________________________________________________________

CHILDREN'S NAMES AND AGES

_________________________________________ ____________________________________________________

_________________________________________ ____________________________________________________

INFORMATION ABOUT YOUR CHEVY:

YEAR_______________________________________________MODEL___________________________________

EXTERIOR __________________________________________INTERIOR_________________________________

ENGINE____________________________________________TRANSMISSION____________________________

OPTIONAL EQUIPMENT ________________________________________________________________________

______________________________________________________________________________________________

HOW'D YOU FIND YOUR CHEVY- (want ads, car dealer, belonged to parents, etc.)

______________________________________________________________________________________________

DATE PURCHASED_____________________________________________________________________________

HAVE YOU WON ANY AWARDS? YES __________NO__________HOW MANY?_________________________

DO YOU LET YOUR SPOUSE DRIVE YOUR CHEVY? YES__________NO __________

HOW OFTEN DO YOU DRIVE IT? DAILY________WEEKLY_________MONTHLY_________NEVER ________

ARE YOU THROUGH SPENDING $$$$$ ON IT? YES__________NO__________

ANY INTERESTING FACTS ABOUT IT?___________________________________________________________

______________________________________________________________________________________________