Lotus Corps
Spouse Name ____________________________________________________
Do you wish to enroll your spouse as a Spouse Member (Y/N) _____
Street Address ___________________________________________ Apt. or Unit No.
_____
City __________________________________________ State ____ Zip Code
___________
Home Phone __________________ Work Phone ____________________ Extension _____
E-Mail Address _____________________________________________________________
Lotus Owned _____ ________________________________ ______
_____ ________________________________ ______
Year Model (Elan, Esprit, etc.) Series
How did you learn about Lotus Corps?
____________________________________________
What sports car activities do you want to participate in?
____________________________________________________________________________
How is your Lotus typically used?
________________________________________________
Lotus Corps dues schedule
Full year dues for new members joining before June 1st are:
$25.00 for Regular Members & $10.00 for Spouse Members
Partial year dues for new members joining on or after June 1st are:
$15.00 for Regular Members & $5.00 for Spouse Members
Regular Membership $________ + Spouse Membership $________ Total Enclosed
$_______
Lotus Corps membership is effective until December 31st.
Spouse membership is optional, and includes all Regular
Member privileges except for the club newsletter.
Please complete this application and submit it with appropriate
dues in the form of a check payable to 'Lotus Corps' to:
Lotus Corps c/o Bob Herzog, Treasurer
1760 S Cora St
Des Plaines, IL 60018
For further information, please contact the Membership Chairman:
Sanjaya Vatuk (708) 771-1928