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Mail-in Registration Form

United British Sports Car Club Membership Application

Dues are $30.00 per calendar year (includes one name badge) - after July 1, new member dues are $20.00 (includes one name
badge). Extra magnetic backed badges are an additional $8.00 each.

Renewal ____ New___ ! Teddy Bear Donation of $ __________
Name:________________________________________________ Spouse:____________________________________
City: _________________________________ State: _________ Zip:_________
E-Mail address:_____________________________________
What type of British Car do you own? ________________________________________
Marque and Model:___________________________________
Color: _________________________Year:_________________
Other Marques:_________________________________________
By submission of this application, each member agrees to carry the minimum insurance coverage required by the State of California, and to obey the laws of the state of California during the participation in all Club events.
All members shall hold the United British Sports Car Club, its officers, and other members blameless for any and all damages
personal and/or property, or loss known or unknown. OILSPOTS, UBSCC’s newsletter is not responsible for the content of
any articles published, and all articles published do not reflect on the club but only that of the writer of that article. Modifications
suggested are done at the individuals own responsibility - common sense and/or manufactures recommendations should
be considered.
Signature: _________________________________________________________________

UBSCC PO Box 161974 Sacramento CA 95816
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