EV CLUB OF THE SOUTH
                       MEMBERSHIP/RENEWAL APPLICATION

If you own, lease or have an interest in electric vehicles, you are eligible 
to become a member of the EV Club of the South by completing and sending in 
this application form.  Membership/renewal occurs annually on January 1.  
Meetings are held on the first Wednesday of every month.  See the web site 
Calendar page for exact meeting dates, including time and location.

$60 (New); $50 (Renewal)   EV Club of the South and EAA membership (with 
newsletter) will keep you informed on local and national electric vehicle 
issues and activities. 

$35 (New); $25 (Renewal)   EV Club of the South membership will keep you 
informed on local electric vehicle issues and activities. 

$10 (Associate or Student)   For family members of EV Club of the South members, 
or students interested in electric vehicle technology.

Application

Name:	 

Home Address:	 

Home Phone:	 

Work Phone:	 

Cell Phone:	 

Email Address:	 

Type & Color of EV:	 

Send application and check made payable to EV Club of the South to: 
Don Francis, 1495 Diamond Head Circle, Decatur, GA 30033
 Membership (circle one):	Shirt Size (circle one):   S    M   L   XL   XXL
 
EAA and EVCS - $60.00 (New)		 
EAA and EVCS - $50.00 (Renewal)		 
EVCS only - $35.00 (New)		 
EVCS Renewal - $25.00		 
Additional Club Polo or T-Shirts - $15.00		Total Enclosed: _________
		
Total Enclosed:  ___________________ 
 Associate - $10.00