Beartooth
Beemers
Membership
Application and Renewal Form
2008
o New
Membership
o Renewal (Please update
any changes in your information)
Last Name: ________________________________ First:
________________________
Mailing Address:
_________________________________________________________
City:
________________________________ State: _________ Zip: _______________
Phone: (______) _______-_____________
E-Mail:______________________________
M/C: Year: ______ Make: _____________ Model: ___________ Color:
_____________
M/C: Year: ______ Make: _____________ Model: ___________ Color:
_____________
M/C: Year: ______ Make: _____________ Model: ___________ Color:
_____________
Affiliation: MOA#:_____ RA#: ____ Airheads#:____ AMA: ______
Other: ___________
[ ] Individual membership = $15.00 per year (allowed one vote)
[ ] Family membership = $15.00 per year (allowed one vote)
Your membership will help build the Beartooth
Beemers, Inc. and will entitle you to any discounts, memorabilia or other
benefits that the directors may see fit to bestow. You don't have to own a BMW
to belong but enjoying associating with those who do might help. Welcome to our
club - we hope you enjoy a long and happy association.
Please make checks payable to: Beartooth
Beemers, Inc., (and send to) P.O. Box 20164, Billings, MT 59104