2025 BNI CANADIAN Membership Application - After May 1st

Bonneville Nationals Inc.

2025 Canadian Membership Application

Membership Is Yearly – January 2025 thru December 2025

Membership is $140/Year If Submitted by May 1

Membership is $165/Year If Submitted after May 1

When Your Membership Is Received by May 1 - These items will be shipped as they become available - Some may ship separately - We will include the following:
- SCTA Rules and Records Book
- Bonneville Nationals SpeedWeek Poster
- Bonneville Nationals SpeedWeek Program
- Bonneville Nationals SpeedWeek Entry Pin
- Embroidered BNI Patch
- BNI Decal
- BNI Membership Card
- 4 Issues of Straight Away News
Name*
Address*

Address

Street Address Line 2

CityState / Province

Postal / Zip Code
State*
Country*
Zip*
Work Ph.
Home Ph.*
Cell Ph.*
Email Address*
example@example.com
Please Check*

New MemberMembership Renewal

My Products*

2025 BNI MEMBERSHIP - CANADIAN AFTER MAY 1ST2025 BNI MEMBERSHIP - CANADIAN AFTER MAY 1ST

$165.00 Quantity

Total

$0.00

Credit Card

Signature*

Clear
Should be Empty: