AMERICAN MOTORS CLUB OF BC

Membership Application Form, for the year to December 31, 2007

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Member Name __________________________________________________

Address ______________________________ City ______________________

Province ____________________ Postal Code _________________________

Home Phone _________________ Work Phone _________________________

Email Address _______________________ (please help bring this club into the 21st century!)

AMC Cars you currently own:

Year

Model

Color

Engine

Car Name

1._______________________________________________________________________

2._______________________________________________________________________

3._______________________________________________________________________

4._______________________________________________________________________

If more than four, please list of additional sheet

Your Primary Interests (please circle):

Historic

Restoration

Racing

Show

Just keeping it on the road

Family Membership with 3 or 4 newsletters is $25.00 CDN Annual cost (through to Dec. 31)

I hereby apply for membership in the American Motors Club of BC.

I further acknowledge that I will not hold the Club of any of it's Directors liable for injury, loss or damage at any club-related events or meetings.

______________________________ Signature

______________________________ Date

Please include cheque or money order with your application and send to:

AMC of BC, #31- 31255 Upper MacLure Rd, Abbotsford, B.C. V2T 5N4

Email: rebelsst390@hotmail.com