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PENN-OHIO BUICK PERFORMANCE CLUB

A Chapter of the National GSCA Dedicated to Performance Buicks

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Application for

Membership

 

 

 

Name _____________________________________________________________________

Street Address ______________________________________________________________

City/State/Zip _______________________________________________________________

Phone: Home___________________________ Work______________________________

Fax ___________________________________ E-Mail_____________________________

Type of Buick? GS/GSX_________ Year_________ GN/T/GNX_________ Year_________

Other_____ Describe__________________________________________________________

Are You a Member of the National GSCA?__________

Your Interests (Racing, Shows, etc)_______________________________________________

___________________________________________________________________________

___________________________________________________________________________

 

 

Annual $15 Dues includes Flint Flyer Newsletter

Send this application and $15 check to:

Hal Wahle, Secretary/Treasurer

2314 Beechmoor Dr.

N. Canton, OH 44720

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