New member           Member Renewal         (Circle Appropriate Status)

Name:_______________________________________________________

Spouse: _____________________________________________________

Address:_____________________________________________________

City:________________________State:_____________Zip:___________

Phone Number: Work ( ) ____________ Home ( ) ______________

E Mail Address _______________________________________________

How do you prefer to receive the newsletter? :  (Circle one)

      By email to address above   / Get from SBCC web site  /  By mail

British Cars you own:

Make of Car__________ Model_________ Year________ Color________

Make of Car__________ Model_________ Year________ Color________

Make of Car__________ Model_________ Year________ Color________

Special Information or Comments about you or your automobiles:

___________________________________________________________

___________________________________________________________

___________________________________________________________