Text Box:             NEW               RENEWAL     Reatta Division# ____________               I AM NOT A BCA MEMBER, PLEASE SEND A BCA MEMBERSHIP APPLICATION.     NAME______________________________________________________________________     ADDRESS___________________________________________________________________     CITY,STATE,ZIP_____________________________________________________________     TELEPHONE  ______________________________  SPOUSE_________________________     REATTA YEAR__________  BODY STYLE  Coupe_________ Convertible________________    EXT. COLOR_____________INT. COLOR_____________RUB STRIP COLOR____________   SUNROOF       Y   N       16-WAY SAT    Y     N         CD    Y    N      OTHER_______________   VIN Number_____________________________ EMAIL_______________________________   BCA#________________ BCA EXP. DATE ______/______/______                                                        (You must be a member of the BCA to be a member of the Reatta Division)   Division Use Only Reatta Division # ____________________ Paid through (date)___________________     Please make your check for $10 (US funds)                        Ed Farnell, Sec/Treas Payable to :REATTA DIVISION, BCA                             Reatta Division, BCA And forward this form to:                                                   440 Langford Road                                                                                       Blythewood, SC 29016                                                                                       Email     If you are already a member , please give this to someone who may be interesting in joining.  Thank you.    

Text Box:             APPLICATION FOR MEMBERSHIP                                                  DIVISION                     BUICK CLUB OF AMERICA