Bay State MGA Club - Membership Application

Fax

Name:

Address:
(Include ZIP):

Phone:

E-Mail Address:

NAMGAR Member #:

Please select one:

New Member:

Renewal:

Update Info:

Ownership of an Antique Automobile is not a requirement for
membership in the Bay State MGA Club.
The following information is requested only if you own one or more Antique Automobiles.

Year	Make/Model	Body Style	Color	Condition	NAMGAR Car #

Please answer the following questions so we can better serve you:

1. Regarding the club website, is it okay to list your name and email in the "List of Members" section?
YES (list my name & email) NO (Do Not list my name & email) List my name but NOT my email

2. If you have a picture of your car you would like posted on the website please send it attached to an email to: baystatemgaclub@gmail.com

NOTE: Please complete the form and
click "Send Information".
You will then be taken to our "Members" page to pay the $25 dues using PayPal.