Membership Application

*Required

*First Name:

*Last Name:
Birthday:
Occupation:
 
 
Significant other:
First Name:
Last Name:
Birthday:
Occupation:
 
 
Contact info:
*Address:
*City: *State: *Zip:
 
*Home Phone: Work Phone: Fax:
 
*E-mail Address:
 
General info:


Other Car Club Memberships:

British Car(s) Owned:
(If different marques, indicate primary marque first.) Year/ Marque/ Model /Color/Year Acquired)

Current Condition Areas of interest:
Repair Rallies Outings Restoration Shows
Other:

May we use your personal information for the Club Directory? Yes No

Areas of expertise that might benefit the Club:

Areas you might consider volunteering for:

Recommended by:

I agree and release the Greater Ozarks British Motoring Club, its Officers, Directors, and Sponsors from any and all liability for loss or injury. Also, I release the Club and its members from any and all liability for advice and assistance in the maintenance or repair of any automotive vehicle. Any advice or assistance is used at your own risk. Participation in any activities of the Club is at the risk of the undersigned and their guests.

*I agree to the terms of membership

Online payment of primary Member Dues are $25. Membership year begins July 1.