ProjectBronco Club Signup Sheet

 

Mail this signup sheet with a Check or Money Order to:

 

ProjectBronco

130 South Tyger Lane

Roebuck, SC, 29376


Name: _________________________________________________
User ID: (ID from the message board, if registered) __________________________
Address: _________________________________________________
Address: _________________________________________________
City: _________________________________________________
State: _____________________Zip: ________________________
Country: _________________________________________________
Phone: _____________________E-Mail: _____________________

Vehicle Details:
Number of Broncos Owned _________________________________
Year of Bronco(s) Owned _________________________________
Details: _________________________________
_________________________________

Shirt Size (M, L, XL, or 2XL): ________________________________

Membership Package Confirmation
Item # Description

QTY

Price (Each) Total
PJB01 Membership Package

______

$50.00

$________
*SC Sales Tax $________

Thank you! :-)

Total

$________

 

Upon receipt of your club signup form, you will be mailed the ProjectBronco Club membership package along with your personal member ID number.  Please remember to make you check or money order payable to ProjectBronco and to allow 4 to 6 weeks for delivery.

 

Thank you for joining the club and for helping to support ProjectBronco.COM!

All orders paying via personal checks will be held until check clears.

*NOTE: South Carolina Residents must add 5% sales tax