PSMC Online Application

Member:   Spouse:  
*First Name: Spouse First:
*Last Name: Spouse Last:
 
*Address:
*City:
*State: *Zip:
 
Contact Info: (000-000-0000) Car Info:  
*Home Phone: Year:
Cell Phone: Color:
*Email: License:
 
Preferences (check all that apply)
  Road Tours
  Parades
  Autocross
  Socials
  Tech Seminars
  Driver School
  Local Meetings
  Rallies
  Other
 
  How would you like your newsletter
(The Sounder) delivered to you?
  Email
  Download it
  Snail Mail
 
  Would you like to be listed in the printed roster
(usually published yearly)?
  Yes
  No  

Your membership application can not be completed until your dues ($30)
are received by the Membership Chairperson.
Dues may be mailed to:
Puget Sound Miata Club
c/o Sean McGriff
222 Wells Ave N
Renton, WA 98057

When Completed