Officers & Board Bylaws Contact Info Grail Application

Annual Dues are $24 per year if paid at the beginning of the year. Thereafter, dues are pro-rated to $2/month.

All questions should be directed to membership@grail-ss.com

Please submit this membership form and mail a check payable to GRAIL
GRAIL
c/o Carla Russo
858 Coachlight Lane                              Hazelwood, MO 63042

 

  


Personal Information

First Name
Last Name
Mailing Address

City

State   

 Zip
Home Phone Cell Phone
E-mail   ISSCA Member Yes No
  NAISSO Member Yes No

Car Information
Model Year Model Color

Impala SS
B-Body Sedan
B-Body Wagon

Standard Onyx Black (BBB)
Dark Cherry Metallic (DCM)
Dark Grey-Green Metallic (DGGM)
Other


Modifications
Please check the boxes with your current modifications. Specifics can be listed on you personal membership page along with photos of your vehicle.

Air Intake   Springs
Engine Change   Shocks
Cams   Intake Manifold
Heads   PCM Programming
Headers   Nitrous
Transmission   Exhaust
Read Diff.   Stereo
Sway Bars   Tires
Wheels (not OEM)   Turbo Charger
Super Charger      
 
© 2006, Gateway Regional Area Impala SS Lovers, Inc.