Membership Application
Print & Mail this form to submit your application.

Name: ____________________________________Spouse's Name: ________________

Address: _______________________________________________________________

City: ______________________________State: ________ Zip Code: ______________

Home Phone: ________________Work Phone: _______________ Fax: _____________

E-mail: ___________________________ Occupation: __________________________

Where did you learn of BMCNO? ___________________________________________

To what other car clubs do you belong? _______________________________________

Membership - $24 per year, July 1 to June 30 (pro-rated the first year at $2 per month until June 30).

First Year Dues when joining in the month of:
June-$24	July-$22	August-$20	September-$18	October-$16	November-$14
December-$12	January-$10	February-$8	March-$6	April-$4	May-$2

Subsequent years are $24 due in June.

"I agree to abide by the rules and regulations as set forth by the Club Officers under The British Motoring Club New Orleans, Inc. Charter and By-Laws."

Signature _____________________________________ Date: ____________