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| | BMW Touring Club of Detroit |
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| | Membership Application & Renewal Form |
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| | Name: _______________________________________________________________ |
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| | Spouse/co-member Name: _______________________________________________ |
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| | Street address: ________________________________________________________ |
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| | City: ___________________________
State: _______
Zip/mail code: _________ |
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| | Country (if not US): _____________ |
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| | Phone nbr: ___________________
Email address*: ________________________ |
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| | Mbr nbrs, AMA: _____________
MOA: _______________
RA: ______________ |
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| | Motorcycle(s) owned (make, model & year): __________________________________ |
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| | ____________________________________________________________________ |
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| | ____ Online newsletter* ($20), or
____ Mailed newsletter ($25) (check one) |
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| | Send checks, payable to 'BMW TCD', to: |
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| | BMW TCD |
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| | c/o Greg Crago |
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| | 8845 Knolson Ave |
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| | Livonia MI 48150-3309 |
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| | * Email address required for availability notification of online newsletters. |
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