| Name: _______________________________________________ | Spouse:________________________ | Interests: __Ralleye __Autocross __Picnics __Tours __Other___ __________ __________ __________ |
| Address: ______________________________________________________________________ | ||
| City: ______________________________________ | State:_____ ZIP: __________ | |
| Telephone: (H)_______________________ Telephone: (W)_______________________ | ||
| E-Mail Address: _________________________________________________________ | ||
| British Car Information: | ||
| YEAR | MARQUE | MODEL | COLOR | COMMENTS |
| 1)____________ | _____________________________ | ____________________ | __________ | _________________________ |
| 2)____________ | _____________________________ | ____________________ | __________ | _________________________ |
| 3)____________ | _____________________________ | ____________________ | __________ | _________________________ |
| 4)____________ | _____________________________ | ____________________ | __________ | _________________________ |
Make checks for $18.00 (new member) or $15.00 (renewal) payable to North Alabama British Motoring Society (NABMS). Send Dues and Application to:
|
NABMS Secretary |
___ New Member ($15.00) ___ Renewal ($15.00) ___ I do not own a British car, but hope to own a(n) _______________________________________ |
Release Name and Car Information to NABMS Members? ___Yes ___No