Puget Sound MINI Motoring Club

Registration Form

Join PSMINI! Your membership fee of $25 goes towards the costs associated with MINI road rallies, meet-ups, special events, insurance and club related costs.
Not only will you be added to our email list for updates on upcoming events and information, but members of PSMINI can receive perks at selected vendors
just by showing their club membership card which has their membership number!

Join today! Paid members will receive their membership card by mail or at the next PSMINI event they attend!

Note: bold items denote required fields

__________________________________________________________________________________________

Name
Spouse’s Name
PSMini.org Forum Username
Address
City
State
Zip Code
Daytime phone
Evening phone
Email
Your Mini Information
	(Year / Model / Color)

                Please mail with check or money order to: PSMINI.org

C/o Linda Grouell

                 5502 25th Ave West

                 Everett, WA 98203-1484

        You may also pay using PayPal and use ‘psmini.org@comcast.net’ for the email address that the payment is sent to.

FOR PSMINI USE ONLY

MEMBERSHIP Number

MEMBERSHIP Card Mailed