Type of Membership:

Individual Membership with Electronic Newsletter and Online Directory - $30

    Add a Paper Directory - $35 

     OR

    Add a Paper Newsletter - $55

    Add a Paper Newsletter AND a Paper Directory - $60

 

First Name:   

Last Name:  

 

Family/Group Membership with Electronic Newsletter and Online Directory - $40

    Add a Paper Directory - $45 

     OR

    Add a Paper Newsletter - $65

    Add a Paper Newsletter AND a Paper Directory - $70

 

Name 1:First Name:  Last Name:

Name 2:First Name:    Last Name:
      Names of Minors:

 

Action Requested:

Renew - Use the same Directory Information as last year (SKIP to Preferences and Interests)

Renew - Change the Directory (Fill in the changes to Directory Information below)

  Join as a New Member (Fill in Directory Information below)

Directory Information: This will be published in the BVDC Directory.   Leave items blank if you do not want them in the Directory.

  Address Line 1 
  Address Line 2 
            City 
  State/Province 
        Zip Code 
      Work Phone 
      Home Phone 
	     FAX 
      Cell Phone              
          E-mail 

Preferences and Interests for 2012:

Please DO NOT send informational Club emails to my email address.  If you provide an email address, and do not check the box above, we will use it to send you important Club notices from time to time - especially updates and changes to upcoming events between Newsletters.  It will only be used for Club notices - we will not give or sell the information to any third party.  You may opt out at any time by clicking the "opt out" link in each email notice.

I would like a 2nd listing.  This only applies to Family/Group members with different last names. The 2nd listing will be Name 2: LASTNAME, Firstname Name 1: Firstname Lastname followed by the address.

Photo Release:  I give the Club Permission to publish my/my family's picture in the Newsletter and other publications. (This lets us publish pictures we take at events without having to track you down each time.)

I am a member of: ADS  USEF  CAA

I Want to Volunteer to help organize or work at Club activities.  Please contact me so that I can get involved.

Volunteers and sponsors are the life-blood of driving events. As a volunteer, you not only contribute your time and talents to make our events successful, but you also get to know other members, learn about driving and have fun! We have a job for every age, level of experience and physical ability. Volunteering at events, hosting meetings, writing articles - you can participate for a lifetime!

2012 events that I would like BVDC to consider hosting - because I would like to participate in them:

Permission be listed in the Paper BVDC Directory which is published annually:

Yes, list me in the Paper Directory.   No, DO NOT list me in the Paper Directory.

Permission to be listed in the Online BVDC Directory (password protected) which is updated monthly:

Yes, list me in the Online Directory.   No, DO NOT list me in the Online Directory.

Please only click submit ONCE to avoid multiple submissions!