Membership Application

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Name: ___________________________________________

Spouse's Name: ____________________________________

Phone - day: _________________

Phone - night _________________

E-mail Address: __________________________________

Street Address: _______________________________________

City: __________________________ State: ___________ Zip: _______

Cars (British and other): Year/Make/Model: ________________

________________________________________________

Special Interests (Racing, Rallies, Concours, etc): _______________

___________________________________________________

Special Skills (machinst, body work, welding, etc): ______________

___________________________________________________

 If you are current in your dues, please use this form to update the information the club has for you.

Please return this form and a $20.00 check payable to BBMC to:

The Birmingham British Motoring Club

P.O. BOX 380783

BIRMINGHAM, ALABAMA 35238-0783