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

Name: ____________________________________Spouse's Name: ________________

Address: _______________________________________________________________

City: ______________________________State: ________ Zip Code: ______________

Home Phone: ________________Work Phone: _______________ Cell: _____________

E-mail: ___________________________ Occupation: __________________________

Where did you learn of BMCNO? ___________________________________________

To what other car clubs do you belong? _______________________________________

                ____Include information in the Online Web Directory       
                ____Please list me as ICE, (In Case of Emergency) willing to render assistance to members
                        who break down in my area.
BRITISH CAR INFORMATION
1st CAR
2nd CAR
3rd CAR
Make:________________ Make:________________ Make:________________
Model:_______________ Model:_______________ Model:_______________
Year:_________________ Year:_________________ Year:_________________
Body Style:____________ Body Style:____________ Body Style:____________
Color:________________ Color:________________ Color:________________

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:         (Please circle ammounts Paid)
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.
Enclose your check payable to “British Motoring Club New Orleans (BMCNO)" and return to:
British Motoring Club New Orleans , P.O. Box 73213 , Metairie, LA 70033

"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: ____________