National Capital Chapter BMW Car Club of America

NAME:
ADDRESS:
CITY:
HOME PHONE:
BMW MODEL/YEAR:
RECOMMENDED BY CLOB MEMBER:
MEMBER'S NOMBER:
STATE:
BUS. PHONE:
MY SPECIAL INTERESTS ARE:
• RALLIES OAUT0CR0SS • MAINTENANCE Q DRIVER SCHOOLS
• CONCOURS • SOCIAL O MODEL CARS O OTHER
FOR FASTER SERVICE CALL (WITH CREDIT CARD READY):
800.878.9292
ZIP:
PLEASE PRINT YOUR NEW ADDRESS AND HOME PHONE NO. BELOW:
NAME:
ADDRESS:
CITY:
TELEPHONE:
STATE:
~l YES, I WANT TO BECOME A BMW CCA
MEMBER. Membership is $35 for one year.
a ASSOCIATE MEMBERSHIP. This is available for
a family member living at your address who will
receive all membership benefits but will not
receive an additional Roundel magazine. Cost is
NAME
PAYMENT
~I I'VE ENCLOSED A CHECK FOR
(U.S. Funds only)
~l VISA ~1 MASTERCARD
CARD NUMBER
EXPIRATION DATE
SIGNATURE
MEMBERSHIP NUMBER:
MAIL TO BMW CCA, INC., 2130 Massachusetts Avenue, Cambridge, MA 02140 or FAX to 617.876.3424
or EMAIL to 102514.2477@compuserve.com or bmw c club@aol.com.
(Please allow three weeks advance notice)
Address changes will NOT be accepted by phone
ZIP:
MOVING?