MADISON BMW CLUB, LTD
MEMBERSHIP APPLICATION

Dues: New Members $20 (full year, $10 if you join after June 30th), $5 (spouse)
Current Members $20 regardless of when paid.

Print this form out, fill it in, and mail it with your dues to:

Madison BMW Club, Ltd
PO Box 152
McFarland, WI 53558-0152


NAME:_____________________________________________________________

ADDRESS:__________________________________________________________

CITY/STATE/ZIP:___________________________________________________

PHONE: (H)__________________________	(W)________________________

BMW MOA Member?	Y/N	Number:_____________________

BMWRA Member?	Y/N	Number:_____________________

AMA Member?		Y/N	Number:_____________________

BMW motorcycles you own:

Year:_______	Model:___________________________

Year:_______	Model:___________________________

Year:_______	Model:___________________________

Other motorcycles you own:

Year:_______	Model:___________________________

Year:_______	Model:___________________________

Which Club activities would you like to get involved in?

___	Club newsletter (Submitting articles or production)
___	Putting on the Club Rally - The Great River Road Run, Bagley WI, in May
___	Club Web Page (Design and Content)
___	Assisting with Club events - Awards banquet, club ride(s),, picnic, other?
___	Membership recruitment?
___	Anything else you'd like to see the Club doing?

Which Club activites interest you the most?

______________________________________________________________________________________

Do you know someone else who would be interested in the club? (Name/Address)

____________________________________________________

____________________________________________________

THANK YOU!