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2013 MOGNW MEMBERSHIP FORM<br />
Date ________________<br />
Name(s) ________________________________________________________________________________<br />
Address _________________________ City ________________________ State/Province _________<br />
ZIP/Postal Code _______________ Email: _________________________________________________<br />
Phones: Home ______________________ Cell _____________________ Work ____________________<br />
Morgans Currently Owned:<br />
Year _____ Model ___________<br />
Body Style _________________<br />
Colour _____________________<br />
Engine Size ________________<br />
Chassis ____________________<br />
Year _____ Model ___________<br />
Body Style _________________<br />
Colour _____________________<br />
Engine Size ________________<br />
Chassis ____________________<br />
Year _____ Model ___________<br />
Body Style _________________<br />
Colour _____________________<br />
Engine Size ________________<br />
Chassis ____________________<br />
Do any of your Morgans have historical significance, special equipment, or interesting<br />
specifications? ________________________________________________________________________<br />
________________________________________________________________________________________<br />
________________________________________________________________________________________<br />
2013 Renewal Dues for 2012 Members (currencies are at par in 2013):<br />
Dues renewal for 2012 members is $24 thru December 31, 2012 or $30 January 1, 2013<br />
or after. Please include your name and any information that has changed<br />
since you last submitted this form. All other fields may be blank.<br />
2013 Dues for New Members (currencies are at par in 2013:<br />
$2 per month for each month remaining in the calendar year including the current<br />
month (examples: $22 in February; $6 in October).<br />
Remittance Enclosed: US$ __________ CDN$ __________<br />
Canadian Members: Please make your cheque payable to MOGNW and mail your check along<br />
with this form to Pat Miles, MOGNW Assistant Treasurer, 15410 Kildare Drive,<br />
Surrey, BC V3S 6B9 | Questions: assistanttreasurer@mognw.com or 604-576-8036.<br />
U.S. Members: Please make your check payable to MOGNW and mail your check along with<br />
this form to Cati Waterman, MOGNW Treasurer, 3810 SW 94th Ave, Portland, OR<br />
97225-2507 | Questions: treasurer@mognw.com or 503-292-5315.<br />
TREASURER’S REPORT AS OF APRIL 30, 2013<br />
CATI WATERMAN, MOGNW TREASURER<br />
OVER or<br />
CATEGORY DESCRIPTION ACTUAL BUDGET (UNDER)<br />
combined bal fwd 12/31/2012 $7,766<br />
INCOME<br />
Advertising 2013 .............................$400 ............... $350..................$50<br />
Dues, 2013...................................$3,678 ............ $3,600..................$78<br />
Dues, 2014........................................$96 ................... $0..................$96<br />
2013 Biennial Meeting .................$2,624 ............ $2,000................$624<br />
Regalia Sales..................................$323 ........... $1,000 ............ ($677)<br />
Foreign Exchange Factor ...................$0 .................. $0 ...................$0<br />
TOTAL INCOME.........................$7,121 ............ $6,950 ...............$171<br />
EXPENSE<br />
Island Pod...........................................$0 ............$683* ............ ($683)<br />
Northern Pod.......................................$0 ............$933* ............ ($933)<br />
Midlands Pod ......................................$0 ............$748* ............ ($748)<br />
Southern Pod......................................$0 .............$835*............. ($835)<br />
Awards ................................................$0 .............. $400 ............ ($400)<br />
2013 Biennial Meeting .................$5,040 ............ $2,400.............$2,640<br />
Club Insurance................................$350 ............... $400 .............. ($50)<br />
Island Pod Rep Ferry..........................$0 .............. $350 ............ ($350)<br />
NWMogazine Newsletter ....................$0 .............. $100 ............ ($100)<br />
Oregon License.................................$50 ................ $50 ...................$0<br />
President’s Discretionary ....................$0 .............. $500 ............ ($500)<br />
Regalia Purchases..............................$0 .............. $500 ............ ($500)<br />
Website...............................................$0 .................. $0 ...................$0<br />
Miscellaneous .....................................$1 ....................... ....................$1<br />
Foreign Exchange Factor................$127 .................. $0................$127<br />
TOTAL EXPENSE.....................$5,569 ........... $7,899 ......... ($2,331)<br />
YEAR-TO-DATE (NET) ...............$1,552 ............($949).............$2,502<br />
BANK BALANCE 4/30/13...........$7,869<br />
* Pod budget allocations are based on a formula approved<br />
unanimously by the MOGNW Executive Board:<br />
Part 1: $1,600 is split equally among the Pods [$1600 / 4 = $400]<br />
Part 2: $1,600 is split among the Pods based on their percentage<br />
of the MOGNW membership on 12/31 of the preceding year