NORTH ALABAMA BRITISH MOTORING S

NORTH ALABAMA BRITISH MOTORING SOCIETY (NABMS)
MEMBERSHIP APPLICATION
(PLEASE PRINT)

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
Lou Nosenzo
106 Bellingham Drive
Madison, AL 35758

___ New Member ($18.00) $3 of which goes to cover the cost of an ID badge with your name and any marque(s) you wish to be associated with - indicate below:
Name:_________________________________
Marque(s):______________________________
___ 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