Form

Membership is $30 per year for new members, $25 for on time renewals (within 10 days of your membership expiration date - no exceptions) . If you do not have PayPal, just complete this application and mail it with a check to: BAMA Membership, P. O. Box 1395, Capitola, CA 95010 . Please note that there is a $5 processing fee for checks, so add that to your $25 or $30 dues. Applications mailed with checks can take up to 4 weeks to process, and your membership or renewal date will not be effective until then.

Membership Type*

Join in December 2011 and get 13 months for the price of 12. $30.00 USD
Join on or before June 30th $30.00 USD
Join on or after July 1st $15.00 USD
Renewal (Annual) $25.00 USD
Renewal (mid year - July 1st thru December 31) $12.50 USD
Paying with check. (Membership not valid until payment is received.) Free

Primary Member's Information

Full Name*

First Name Last Name

Phone Number*

- Area Code Phone Number

E-mail*

Address*

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Birthday Month

Personal Website

Were you referred by a BAMA member? If so, please tell us who.

Spouse or Partner Information

Spouse or Partner

Full Name

First Name Last Name

Bithday Month

Tell us about your Miata

Year of Car:

Car Color:

Car's Nickname

Date purchased (MM/YY)

Car License:

Modifications:

Favorite Miata Activities:

Accessories

Future Upgrades

BAMA Awards Received

Pictures of your Miata adventures

1st Picture

Description for 1st picture

2nd Picture

Description for 2nd picture

3rd Picture

Description for 3rd picture

4th Picture

Description for 4th picture

Please read carefully!

We use a BAMA roster for notifying members of events, event changes, club business and is maintained by the BAMA board. Please indicate what information you would like on BAMA's roster (remember we need your e-mail address to send you event/club information!)

Include on BAMA's Roster

Address Phone # E-mail

I give permission to distribute my contact information to club members.*

It is the policy of the Bay Area Miata Association not to release addresses, phone numbers, or any other personal information to anyone, without the prior written consent of the individual member.BAMA membership lists are never viewed, distributed or used for any purpose other than stated above. A member may change or revoke his or her permission upon written notice to the membership chair.

Copyright 2007 Bay Area Miata Association, Inc.
You will receive an e-mail confirmation - PLEASE make sure your e-mail address is correct!