Mail In New Membership / Renewal form
Please either complete this form and print it or print it and complete by hand and mail to the address indicated.
Mail In Membership Application
Please charge $
to the following Credit Card
Name on Card
This form may be completed on your computer, then printed and mailed OR it may be printed and completed by hand
Austin Healey Owners Association of British Columbia
#602 - 1641 Lonsdale Ave.,
North Vancouver, B.C.
Canada , V7M2J5
Healey(s) you own. If this is renewal, please complete below if there is a change in vehicle status
Do you require a Name Badge?
Do you require a New Member kit?
Dues - Family membership is $25 per year
Charge to Credit Card below