BRODHEAD PIETENPOL ASSOCIATION
Membership Application
Date ____________ New Member __________ Renewal __________
1 year USA……………...$16.00
2 year USA……………...$30.00
1 year Canada/Mexico…..$18.00
Back issues………………$ 4.00 (Indicate which issues)
Other countries….……….$22.00
Name: __________________________________________________
Address: ________________________________________________
City:____________________________________________________
State: ________________________________ Zip:_______________
Phone:__________________________________________________
email:___________________________________________________
Amount enclosed: _________________
(Cash/check only – no credit card)
Make all checks payable to: BPA
or Brodhead Pietenpol Assoc.
All correspondence - including membership payments, articles,
photos, letters, comments, suggestions,
concerns, classified ads, etc.,
should be mailed to:
Brodhead Pietenpol Association
P.O. Box
3501
Oshkosh, WI 54901
Email:
bpan@tds.net
Web: pietenpols.org