MG CAR CLUB Membership Form

OUR MEMBERSHIP FORM

Dues are $30 for the year. The dues can be paid for by:

1. Online using .

2. OR by sending a check or money order (the address to send the check to will be shown after completion of this form).

3. OR bring payment to a meeting (3rd thursday of the month, Burgundy Basin Inn - click for map).

* - required fields

*Name: Birthday:

Spouse:	Birthday:
OR Friend:

Phone - *Home: Work:

Anniversary:

*Address:

*City: *State: *Zip:

Cars owned & Year
(make, model, year)

What are your interests: (check as many as you wish)

Racing	Gymkhana	Rallye	Restoration
Car Show	Social	Touring	Other:

Any notable Hobbies, other interests, etc:

Occupation: *Email:

If a member has a car problem near you can you offer Roadside Help?
No Yes
If YES, when wouldn't you mind being contacted:
Days Evenings Nights Weekends

Click here to review the information: --->

MG Car Club Western New York Centre

Cars and Parts For Sale