Blue Moon Cruisers Rod & Custom Association

Roster Book Update Form


Annual dues are to be paid no later than December 31st each year. If any member wants their Roster Book information to appear in the new directory dues must be paid.  An update form can be found at the end of the club directory booklet or you may print and fill out the form below.  The form and your check for your annual dues ($25.00 for current members) can be mailed to: 

Checks should be made payable to Blue Moon Cruisers Rod & Custom Assoc.

You may also bring the form to any club meeting or event and give the form to John Kaufman, Membership Chairman.
 


Roster Update Form -  Please Print Legibly

Today's Date:                             Membership Number:                         
Name:                                                                                                    
Name of Spouse or Partner:                                                                                                  

Address:                                                                                                   
                                                                                                                 

Phone:        Home: (     )                                          Work: (     )                                                 (Optional)
                   
Cell:    (     )                                                 (Optional)

                    Email:                                                                                                                     (Optional)

How would you like to receive your club newsletter?  Check One:  by mail OR  by email

List any abilities, skills or business opportunities that would be of benefit to club members:

                                                                                                                                                                                                    

                                                                                                                                                                                                   

Vehicles currently owned.  Please indicate year, make, model.  Up to six (6) vehicles may be listed.  Any convertibles may be listed additionally.

  1.                                                                                            Convertible                                                                                       
  2.                                                                                            Convertible                                                                                       
  3.                                                                                            Convertible                                                                                        
  4.                                                                                              
  5.                                                                                              
  6.                                                                                                                                                                                                                                                                    

Please return this completed form to:                                                     Dues:  $25/year,  New Member $30/1st year

Blue Moon Cruisers Rod & Custom Association
717 Market St. Suite 400
Lemoyne, PA 17043
 

Administrative Use Only
  Date Received:                                          Received by:                                       

  Check #                                    or  Cash                 Amount:                                       

 

 

 

Cut here and mail

" +----------------------------------------------------------------------------------------------------------------------------------

Mail your completed update form along with your $25.00 Annual dues to: 


Questions?   

Home ] Hot News ] Lost Members ] Award Winners 2007 ] 2008 Cruise Albums ] BMC Calendar ] Classified Ads Intro ] How our club started ] BMC Event Albums ] Other Sites of Interest ] Club Purpose ]


Home ]
Copyright © 2005 by Blue Moon Cruisers Rod & Custom Association. All rights reserved.
Revised: Wednesday, April 23, 2008 08:14 AM .
Blue Moon Cruisers Rod & Custom Association
717 Market St. Suite 400
Lemoyne, PA 17043

Copyright © 2008 by Blue Moon Cruisers Rod & Custom Association. 
All rights reserved.