BAC Membership Form - Online
$30 each (or $15 for family member in same household)
Payable by etransfer to treasurer@bluenoseautosport.ca with password of BAC2024
Membership expires December 31st of each year
Sign in to Google to save your progress. Learn more
Email *
Are you a new or returning member? *
Multiple members in a household
Each person must fill out the online form, but only the first person needs to pay the full $$ membership amount. Each other household member only needs to pay $15.
Are you the first member of your household to purchase a membership? *
First Name *
Last Name *
Phone Number *
Street Address *
City *
Province *
Membership Card and Number
Your membership card will be delivered to you at the next event that you attend. If you require your Membership Card to be mailed to you, or if you require your Membership Number, please send an email to vp@bluenoseautosport.ca
Next-of-kin/Emergency Contact Information (please provide a name and telephone number) *
Payment options *
Captionless Image
Interest (indicate as many as you want) *
Required
BY COMPLETING THIS MEMBERSHIP APPLICATION, YOU AGREE TO BE BOUND BY THE RULES AND REGULATIONS OF BLUENOSE AUTOSPORT CLUB AND ATLANTIC REGION MOTOR SPORTS INC. *
Required
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Bluenose AutoSport Club. Report Abuse