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MEMBERSHIP APPLICATION

___________________________________________
Print Name As You Wish It To Appear On Name Badge

Mail completed application to: The Pebble Beach Sports Car Club, Inc.
P. O. Box 94
Monterey, CA 93942

The Pebble Beach Sports Car Club was founded in 1952 and is one of the oldest car clubs in the United States. We are interested in automotive activities, i.e. racing, rallying, touring, car shows and socializing. In order to join the club you must fill out the application below, have it properly signed and attach a check or money order for $30.00 ($10.00 initiation fee includes name badge, $20.00 annual dues). For spouse (Associate Member) $10.00 annual dues and an additional $5.00 for name badge if desired.

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Date____________________

Applicant Name__________________________________ Over/under 21 Spouse’s name_____________Over/under 21
Please print - last name, first name

Address___________________________________________City______________________State________Zip_____________

Home Phone_____________________________________ e-mail__________________________________________________

Business_________________________________________Business Phone__________________________________________

Car(s)__________________________________________________________________________________________________

My interests are: rallying______________, racing_______________, autocrosses &gymkhanas_________________,

touring__________, Other_________________________________________________________________________________

I would like to help on the following committee(s): club officer___________, publicity___________, newsletter___________,

rallye_________, special events______________________________

The PBSCC event I participated in was_______________________________________________________________________

The General Meeting I attended was_________________________________________________________________________

Additional remarks_______________________________________________________________________________________

Signed _________________________________________

Sponsor

Sponsored by___________________________, a member in good standing who attests that the applicant has demonstrated

genuine enthusiasm for the sport of motoring and would prove to be a worthy and enjoyable addition to the membership of the club.

Endorsement

Please have three club officers indicate that they have met you.

(1)__________________________________ (2) _______________________________ (3)______________________________

Board Action

Fee attached?_____________ Event? __________________________ General Meeting?___________________________

This application has been considered in all respects required by the by-laws of the Pebble Beach Sports Car Club, Inc., effective

at this time and is herewith approved/disapproved by action of the board on this ___________day of ___________ 20_______.

President______________________________________________Treasurer___________________________________________

rev. 01-2007