BRODHEAD PIETENPOL ASSOCIATION
Membership Application
Date ____________ New Member __________ Renewal __________
1 year USA……………...$20.00
2 year USA……………...$35.00
Back issues……………..$ 4.00 (Indicate which issues)
Outside USA: For method of payment please email BPA
1 year ............................$25.00
2
year ............................$45.00
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
2424 American Lane
Madison,
WI 53704
Email:
jhofmann@reesgroupinc.com
Web: pietenpols.org