BPG New Member Application

PLEASE NOTE: To avoid any confusion, please pay use PayPal when submitting this membership application.

The Paypal address is paypal@buickperformancegroup.com

Thank You!

First Name:              Last Name:             
BPG BBS Username:   E-Mail Address:  
Address1:                  Address2:              
City:             State/Prov:   ZIP/Postal:  
Telephone: Type:   Telephone: Type:  

Buick Interests:       Buick V6      Buick V8      All Buicks
Your Buicks:
What do you want to see in your Buick club?

Dues payed with Paypal:

1 year - $35.00           2 years - $65.00           3 years - $90.00           Lifetime - $500.00



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