Please renew in April or May. Membership runs from 6/1 to 5/31. 
If you join after January 1^st, your membership does not expire until the following year. 

         Date: __________   New Member     Renewal     GSBMWR No.____________  Address change: 

         I want to join/renew for 1 year      or 3 years  

         Member’s Name: _____________________________________ 

         Associate’s Name: _________________________________ 

         Street Address: _____________________________________ City: ___________________________

         State: _______    Zip: ___________

         Phone:________________________ E-mail: __________________________________________

         BMWRA #____________   BMWMOA #______________ AMA #_________________  

         Other Clubs: ____________________

         Year/Model Bike(s): _______________________________________

         Do you want to be in the club directory?       Yes             No

         Please check one.  Do you prefer an electronic newsletter?        Or a hard copy newsletter?    

         Dues:  Regular member: $15/year
      Associate Member: $10/year 

         Mail completed form and check payable to GSBMWR to:
GSBMWR c/o Tom Murray, 120 Cabot Road, Nelson  NH  03457 

          For office use only:

          Amount Rec’d: ________________   Entered in database ____________   Card and decal sent ____________x