Birmingham Motoring Club

Membership Application

Enter information and click button on the bottom of this page to submit and pay $60 per year Membership Fee

First Name:   Last Name:

Spouse:

Address:  City:   State:   Zip:

Email Address:

Home Phone:

Work Phone:

Cell Phone:

Cars Year/Make/Model

Interests (Racing, Rallies, Concours, etc.)

Skills (Machinst, Body Work, Welding, etc.)