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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

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