PANHANDLE BRITISH CAR ASSOCIATION, INC. MEMBERSHIP FORM

Please fill out the form and print when done. Form updated: 11:09 PM 10/5/2005

  • Membership is $15.00 each year.
  • Membership includes "The British Marque" subscription and PBCA window decal.
  • Name tags are $5 each.
    Today's date
    Name (Last,First, MI)
    Spouse name
    Address
    City
    State/Zip Code
    Day Telephone
    Night Telephone
    Email address

    British Cars owned:
    Year Model
    Year Model
    Year Model
    Check or click the box of which activities you would attend:
    <-Tech Info & Assistance <-Parades <-Out of Town Shows <-Rallyes
    <-Local Shows <-Restoration <-Other Out of Town Events <-Tours

    Make your check for membership out to "PBCA" & mail it with this form to:

  • Tom Schmitz, PBCA Treasurer
  • 9609 Soldiers Creek Drive
  • Lillian, AL 36549
    -------------------------------------------(Do not use)-----------------------------------------------
    <-Roster <-email <-Marque <-Name_Tag <-Decals <-Date