Address: ____________________________________________________________________________________

City, State, Zip: ______________________________________________________________________________

Home Phone: ________________________________ Cell Phone: __________________________________

Email: ______________________________________________________________________________________

This form can be printed, filled in, and mailed with your initial membership fee of $25.00 for the 2008 – 2009 club year (June 1, 2008 – May 31, 2009) Each renewal must have this form completely filled in with updated information (Spouse / Other is optional). Please make checks payable to Houston Buick Club and mail to:

Since the club’s main venue for contacting the membership is through the HBC email list, it is the member’s responsibility to maintain a valid email address at all times AND to keep the club officers aware of any changes. If not, he/she may not receive any updated meeting info, newsletters, or notices of HBC special events. Please send requests for info about the club to: cantdrivefiftyfive@hotmail.com

The url for the HBC email group is: http://autos.groups.yahoo.com/group/houstonbuick/

The website for HBC is: http://www.houstonbuick.org

Signature: _________________________________________ Date: _____________