BMW Car Club of America - der Bayerische

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MEMBERSHIP APPLICATION
WMSE *a MEMBERSHIP APPLICATION
BMW Car Club
of America
© IF
NAME:
ADDRESS:
YOU ARE INTERESTED IN BECOMING A MEMBER, please fill out the form below and mail—with membership
dues—to BMW Car Club of America, Inc., 2130 Massachusetts Avenue, Cambridge, MA 02140.
CITY: STATE: ZIP:
HOME PHONE: BUS. PHONE:
BMW MODEL/YEAR:
RECOMMENDED BY CLUB MEMBER:
MEMBER'S NUMBER:
MY SPECIAL INTERESTS ARE:
• RALLIES LlAUTOCROSS • MAINTENANCE • DRIVER SCHOOLS
• CONCOURS • SOCIAL L~J MODEL CARS • OTHER
FOR FASTER SERVICE CALL (WITH CREDIT CARD READY):
800.878.9292
PLEASE PRINT YOUR NEW ADDRESS AND HOME PHONE NO. BELOW:
O YES, I WANT TO BECOME A BMW CCA
MEMBER. Membership is $35 lor one year.
D 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
~l I'VE ENCLOSED A CHECK FOR
(U.S. Funds only)
~) VISA ~l MASTERCARD
CARD NUMBER
EXPIRATION DATE
SIGNATURE
NAME: MEMBERSHIP NUMBER:
ADDRESS:
CITY: STATE: ZIP:
TELEPHONE:
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