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2006 MOGNW MEMBERSHIP AND DUES FORM<br />
Date ________________<br />
Name _______________________ Spouse _______________________<br />
Address ___________________________________________________<br />
City ______________________________________________________<br />
State/Province __________________ ZIP/Postal Code ________<br />
Home Phone __________________ Work Phone __________________<br />
Cell Phone __________________ Email _______________________<br />
Do you want your NWMogazine by Postal Mail __ or Email* __?<br />
*(Requires Adobe Reader 4.0 or later, free from Adobe.com)<br />
NW Mogazine<br />
Morgan Owner’s Group Northwest<br />
Steve Hutchens, Editor<br />
2090 North Shore Road<br />
Bellingham, WA 98226-7864<br />
USA<br />
Morgans Currently Owned:<br />
1. Year ______ Model ________ Body Style ________________<br />
Colour ________________ Engine Size _____ Chassis # _____<br />
2. Year ______ Model ________ Body Style ________________<br />
Colour ________________ Engine Size _____ Chassis # _____<br />
3. Year ______ Model ________ Body Style ________________<br />
Colour ________________ Engine Size _____ Chassis # _____<br />
Do any of your Morgans have historical significance,<br />
special equipment, or interesting specifications?<br />
___________________________________________________________<br />
___________________________________________________________<br />
___________________________________________________________<br />
2006 Annual Dues: US$30/CDN$35 January 1, 2006 or after;<br />
FIRST CLASS<br />
Dues for <strong>New</strong> Members: US$2/CDN$2.25 per month for each<br />
month remaining in the calendar year including the<br />
current month (US$22/CDN$24.75 in February, US$14/<br />
CDN$16.25 in June, US$6/CDN$6.75 in October, etc.)<br />
Remittance: US$ __________ CDN$ __________<br />
U.S. Members: Please make check payable to MOGNW and mail<br />
your check and this form to William Button, MOGNW Treasurer,<br />
9839 51st Ave SW, Seattle, WA 98136.<br />
Canadian Members: Make cheque payable to Pat Miles, MOGNW<br />
Secretary and mail your cheque and this form to Pat Miles,<br />
MOGNW Secretary, 15410 Kildare Drive, Surrey, BC V3S 6B9<br />
Questions: Email wmbutton@comcast.net or phone 206-935-3616
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