PENN-OHIO BUICK PERFORMANCE CLUB
A Chapter of the National GSCA Dedicated to Performance Buicks
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