MINI
MEMBERS
NAME(S)____________________________
____________________________
Best Contact Number
(____) _____-_______ This is HM/WK/Cell(circle one)
Other Contact Number(s)
(____) _____-_______ This is HM/WK/Cell(circle one)
Other Contact Number(s)
(____) _____-_______ This is HM/WK/Cell(circle one)
E-Mail Address
_____________________@__________________
Address
Name(s)___________________________________
Address____________________________________City_____________
State___________
Zip____________
Car:
Year______
Type(cooper or S)__
Trans (Stick/Auto)__
Color________
Name of Car(sorry if your car does
not have a name you will not be accepted) (kidding)
Don’t Have a MINI just interested______(ck here)
Optional
Dog(s) Name
__________________________________________
What do want this club to (do/be/accomplish)
Other Comments:
_______________________________________________________________________________________________________________________________________________________________________________________________________________________
