Contact Us

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BLUE MOUNTAIN ANTIQUE GAS & STEAM ENGINE ASSOCIATION MEMBERSHIP FORM

RENEWAL______ NEW______

PLEASE PRINT:
NAME: _____________________________________________________________________________________________________

ADDRESS: __________________________________________________________________________________________________

CITY: ___________________ STATE:______ZIP CODE:__________
TELEPHONE: _______________________________________________________________________________________________

MOBILE: ___________________________________________________________________________________________________

E-MAIL ADDRESS:___________________________________________________________________________________________

SIGNATURE: ________________________________________________________________________________________________

DATE: _______________________________________________________________________________________________________

FORMS MAY BE SUBMITTED BY DROPPING THEM OFF AT THE REGISTRATION BOOTH DURING ONE OF OUR SHOWS OR MAIL TO:

TOM BUIST
C/O BMAGSEA
2260 LAKE MINSI DRIVE BANGOR, PA 18013

*DUES ARE $10.00 ANNUALLY
*FAMILY MEMBERSHIP IS SAME PRICE AS INDIVIDUAL *MAKE CHECKS PAYABLE TO: BMAGSEA

You may print out your own form below.

https://www.jacktown.org/membership-form/item/download/3_8e37799b5f46f809f70e193fc5ca4d7b

Please contact Tom Buist with any membership or flea market questions:

610-588-7360

2260 Lake Minsi Drive

Bangor, PA  18013

email: tbbuist@frontiernet.net