APPALACHIAN BRITISH CAR SOCIETY
Application for Membership

NAME: DATE:

SPOUSE'S NAME:

ADDRESS:

CITY: STATE: ZIP:
HOME PHONE:

WORK PHONE:

EMAIL ADDRESS:

 

YEAR

MAKE

MODEL

COLOR

CAR 1

 

 

 

 

CAR 2

 

 

 

 

CAR 3

 

 

 

 

CAR 4

 

 

 

 

Dues are prorated for new members according to the month in which you join:

January-March: $25 (for current year)
April-June: $20 (for current year)
July-September: $15 (for current year)
October-December: $25 (includes the next year)
Renewals: $25 per year payable each January

Please print this form and mail with your check to:

   Michele McRoy
   ABCS / Treasurer
   3971 Skyland Dr
   Kingsport, Tn. 37664

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