Enrollment form

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Today's date: 
First name: 
Last name: 

Spouse or companion name (if applicable):
Address (line 1): 
Address (line 2): 
City:
State (Please use two-letter abbreviation):
Zip code (99999-9999 OR 99999):
(Please include your new area code in the phone numbers below)
Home phone (xxx-xxx-xxxx):
Work phone  (xxx-xxx-xxxx): 
Cell phone  (xxx-xxx-xxxx): 

Home fax       (xxx-xxx-xxxx):
Work Fax       (xxx-xxx-xxxx):
E-mail address: (note - we do not share your e-mail address with 

ANYONE, and use it only to send you official club notifications.  See our privacy policy.

Please select one:
It's OK to have a link from our "Members" page so folks can send me e-mail from there
I prefer that a link to my e-mail address NOT appear on the club's web pages

Model of Car: Z3 Roadster Z3 CoupeZ4 RoadsterZ4 CoupeZ8 Roadster

Model Year: 1996 1997 1998 1999 2000 2001200220032004200520062007

Engine Size: 1.9 Liter2.3 Liter (nominal - actually 2.5) 2.5 Liter2.8 Liter3.0 Liter 3.2 Liter (///M)

Transmission type: Manual Automatic 

Exterior Color: 
Interior Color:  
Cloth Top Color:
Other options and add-ons:

Other historical information (what other interesting cars have you owned, etc.)

Please tell us how you found our site. 
Received flyer
Linked from another site (which one)  
A friend told me about it
Through the Z3 Web Ring
Found with a search engine (which one) 
Found out about it from a news group (which one) 
Other (please describe) 

Please select one:
I would like to volunteer to help with club activities
I don't want to volunteer to help with club activities

REMEMBER: THE OFFICIAL CLUB POLICY IS TO OBEY ALL TRAFFIC LAWS AND REGULATIONS AND TO BE COURTEOUS TO OTHER DRIVERS

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