Rocky Mountain Chapter
of the
Buick Club of America



 

Rocky Mountain Chapter of the Buick Club of America

Application for Membership

The Rocky Mountain Chapter of the Buick Club of America is a non-profit membership organization dedicated to the preservation and restoration of those vehicles built by the Buick Motor Division of the General Motors Corporation. Members are encouraged to participate in social and motoring events sponsored by the Club and Chapter. Membership in the Buick Club of America is a prerequisite. Chapter dues are $20 per year, due at the first formal meeting of the Chapter each year or at the time of joining, and to be paid to the Chapter treasurer. This includes an emailed copy of the Chapter newsletter. A surcharge of $5 per year for those requesting a paper copy of the Chapter newsletter.

Date: _________Buick Club of America Membership Number: _______

Name: ____________________________________________________

Spouse or other:  ____________________________________________

Address: __________________________________________________

City: ________________ State: ______________ Zip Code: _________

Phone Number: ____________________

Check here if you do not want your phone number listed in the chapter directory. 

List Buicks currently owned (not a prerequisite for membership)

Year          Model Number to Type               Body Style (2dr, 4dr, etc.)

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________________________________________________________

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Mail to: Tim Gibson
10330 North County Road 15
Ft. Collins, CO  80524



Last modified: April 15, 2022