Buicks on the Bricks
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Spouses Name
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Home Phone Number
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Cell Phone Number
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Email
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Buicks Owned (Year, Model, Body Style)
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I am interested in PARTICIPATING in......
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Car Tours
Car Shows
Technical Sessions
Dinner Meetings
Restoration Advice
Visits to Restoration or Collector Facilities
Technical Data
Club News & Fellowship
Please select all types of chapter events you would like to participate in.
I am interested in HELPING with.....
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Club News Letter
Event Photography
Membership Assistance
Car Tour Volunteer
Meeting Set Up Volunteer
Technical Assistance
Other (Please explain in the "Comment Box")
Please select all types of chapter events you would like to assist in.
BCA membership is required for membership in the buicktown chapter.
please check and fill out one of the options:
Membership in the bca includes....
participation in national and regional events
the buick bugle monthly magazine
liability insurance coverage in chapter meeting and events
Membership Status
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I am a current member
I am a new member & have submitted my BCA application
BCA Member # (existing members only)
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Expiration Date (existing members only)
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New Members Application Date
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Buicktown Yearly Dues (Please select your option)
chapter dues are due in January. the following year is included if you join after august 31st.
Please Select One
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$20 Newsletter by USPS mail (us only)
$15 Newsletter by email
Please mail membership checks to:
dave langdon - membership chairman
8246 washburn rd
goodrich, mi 48438-9277
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HOME
EVENTS
BCA - BUICKTOWN CHAPTER
PHOTOS
MEMBER'S PICTURES
CONTACT
Member Application