Membership Application

CONTEMPORARY HISTORIC VEHICLES ASSOCIATION, Inc.

Contemporary Autos of Southern Oregon Region
APPLICATION FORM

NAME

SPOUSE

ADDRESS CITY STATE

ZIP

HOME PHONE # CELL PHONE #

ADDRESS ANNIVERSARY

MEMBER’S BIRTHDAY SPOUSE’S BIRTHDAY

VEHICLES OWNED:

YEAR MAKE MODEL COLOR

List additional vehicles on back of this form.

Please send completed CHVA and CASO applications to:
Larry Johnson

253 Summer Glenn Court

Central Point, OR 97502

Questions?: (541) 664-0355

Include a check made out to CASO for the yearly or pro-rated dues owed.
CASO dues are: $20.00/year for January – December. Pro-rate at $1.70/month

CHVA dues are: January, February, March              $25.00
                             April, May, June                             $18.75
                            July, August, September                 $12.50
                            October, November, December      $31.25 (includes next years dues)