Brits of the Hudson
Membership Application Form

Please fill out, print, and mail this form along with your payment...


Please provide the following information:

Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
Home Phone
Today's Date
E-mail
Home or Favorite URL

List your vehicle(s):

Marque
Model
Year
Marque
Model
Year
Marque
Model
Year

Please list names of other British sports car club(s) to which you belong or have been a member of ?


Mail to
Brits of the Hudson, Ltd. c/o Ruth Bottomley
w/$30 dues:
82 Rochdale Rd
Poughkeepsie, NY  12603-1422

Copyright © 2000 [Brits of the Hudson, LTD]. All rights reserved.
Revised: March 31, 2005