Oklahoma Chapter of the Buick Gran Sport Club of America
Membership Application
Bob Thomas, Director …………………..moreboostbob@aol.com, 405-672-2517
Austin Kendall, Vice Dir .......................... awkendall@swbell.net, 405-677-7308.
Kathy Emberton, Treasurer, okgsgn@oklahoma.net
NAME_______________________PHONE (_____)______________GSCA# ______
Address______________________________________________________________
City, __________________________________ State, _______Zip_______________
E MAIL ADDRESS ____________________________________________________
BIRTHDAY: MONTH ____DAY _____SPOUSE: MONTH ______ DAY _________
RENEWAL (for member info updates) _____ NEW MEMBER _____
BUICKS OWNED
YEAR MODEL ENGINE TRANS COLOR INTERIOR
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WHAT IS YOUR MAIN AUTO INTEREST (CAR SHOWS, RACING, ETC.)
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LIST ANY PARTS NEEDED
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DUES ARE $10.00 ANNUALLY WITH THE CLUB YEAR RUNNING FROM JANUARY. THROUGH DECEMBER. WATCH THE NEWSLETTER FOR TIME AND PLACE OF CLUB EVENTS OR PLEASE CALL OFFICERS. SEND YOUR CHECK FOR MEMBERSHIP MADE OUT TO THE TREASURER, KATHY EMBERTON, 9909 ROLLING MEADOW DR East, MUSTANG, OK. 73064.