2025 KBCC Membership Form

2025 KEYSTONE BRITISH CAR CLUB

JOIN or PAY YOUR ANNUAL DUES & INFO
PLEASE SUBMIT YOUR INFORMATION HERE
TO JOIN or PAY YOUR DUES ONLINE.

If you'd like to pay by check,
please download this form
and mail to the address on the bottom of the form.
* = Required field
CONTACT INFORMATION

Your information for the club roster
CLUB MEMBER 1*

1 First Name1 Last Name
Member 1 Email*

Confirmation Email
Member 1 Phone
CLUB MEMBER 2 (if dual member household)

2 First Name2 Last Name
Member 2 Email

Confirmation Email
Member 2 Phone
Mailing Address*

Address

Street Address Line 2

TownState

ZIP
CAR INFORMATION

What British cars do you own? IF YOU OWN MORE THAN TWO, please use the OTHER CARS box below to provide the information.
Car 1 Year
Car 1 Make
Car 1 Model
Car 1 Color(s)
Additional info about Car 1
Other car details you'd like to share
Car 2 Year
Car 2 Make
Car 2 Model
Car 2 Color(s)
Additional info about Car 2
Other car details you'd like to share
Car 3 + (If you own more than two British cars)
List all the other British cars you have: Year, Make, Model, Color.
Do you belong to the North American MGB Register? (The club is insured through NAMGBR, and must have eight NAMGBR members in the club to maintain our affiliation and insurance.)

YESNO
Other British or classic car club(s) you belong to, national or local:
May we include your information in the roster distributed ONLY to club members? (Select NO to opt out.)*

YESNO
Method of payment:*

ONLINE, USING 'PAY HERE" SECTION BELOWBY CHECK. I WILL DOWLOAD THE FORM and MAIL.
COMMENTS/QUESTIONS for the club
PAY HERE!

OR just submit info using button below if you intend to pay by check.
Use credit or debit card or PayPal account. You will receive a receipt by email after you submit.*
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PLEASE CHECK HERE to PAY DUESMembership through December 31, 2025
$20 SELECT RENEWING or NEW MEMBER

Total

$0.00

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.

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2025 KEYSTONE BRITISH CAR CLUB

CONTACT INFORMATION

CAR INFORMATION

PAY HERE!