Polar Bear Grand Tour
2025-2026 Membership
Registration Application











Name
Street
City
State
ZIP
Are you a NEW member? YES NO
Phone
E-Mail
AMA #
Club Name
Join next year's "Member of the Week" club? YES NO

Please enter any comments you may have:

APPLICATION FEE:
AMA Members $22.00
Non AMA Members $25.00
Polar Bear Member of the Wee fre $20.00

Please make all checks payable to: PBGT2020 or Polar Bear Grand Tour and send to:

Polar Bear Grand Tour c/o Jim Conway
1 Northumberland Drive
Toms River, NJ 08757-4716


Important: This form can be sent via E-mail to PBGT2020@gmail.com or by mailing with your check to the address above.
You will receive a confirmation within 24 hours of receiving he form.

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