Boulevard Knights Car Club of Reading Pa Membership Application Name:______________________________________________ Birthday Month and Day: __________ Spouse/Significant Other: __________________________Birthday Month and Day: __________ Street Address: ______________________________________________________________________ City ____________________________ State _________________ Zip Code ___________________ Home Phone: ____________________________ Today's Date: _______________________________ Occupation: __________________________________________________________________________ Company Name: ________________________________________________________________________ Cell number: _______________________________ If you have E-mail, what is your E-mail address:______________________________________ How would you like to be contacted? ____ cell ____ e-mail ____ home Phone How did you learn about the Boulevard Knights Car Club? ______________________________ Are you willing to help with club duties or organizing events? _____no _____yes Are you interested in holding an officer title within the Club? ____no _____yes Do you have any skills that would be benificial to the club (i.e. Mechanic, Graphic design ect.) ____________________________________________________________________________________________ What events Interest you most (check all that apply) ___ Cruises ____ Shows _____ Poker Runs _____ Long distance Cruises How many event would you say you attend on average? ____0-2 per month ____ 2-4 per month ____ 5-8 per month ____ 8-10 per month ____ 10+ Tell us about your Car Model & Year of your car _____________________________________________________________ Exterior Color: _______________________________ Interior Color: ______________________ Engine & Transmission ________________________________________________________________ Options: _____________________________________________________________________________ How would you describe your car? (check all that apply) ___ original Unrestored ___ original restored ___ mild modified ___ race car ___ modified/custom ___ daily driver ___ show car ___ other ___ in various parts and pieces in a garage (please explain): _______________________ ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ Do you have more than one Car? Model & Year of your car _____________________________________________________________ Exterior Color: _______________________________ Interior Color: ______________________ Engine & Transmission ________________________________________________________________ Options: _____________________________________________________________________________ How would you describe your car? (check all that apply) ___ original Unrestored ___ original restored ___ mild modified ___ race car ___ modified/custom ___ daily driver ___ show car ___ other ___ in various parts and pieces in a garage (please explain):_________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ Are you a member of Any other Car Clubs? __no ___yes if yes which one? _______________________________________________________________________ Do you own your own business or have a side business? ____ yes ____ no If so, what is the name of the business? ______________________________________ Discount available to BKCC Members? ____ yes ____ no If so, How much? _______________________ Important!!! Be sure that you have read and understand the About Us and By-Laws Pages BEFORE you mail this form. Thank you for your interest! Please Mail to : Boulevard Knights Car Club 2412 Berkley Rd. Reading PA 19605