Oldsmobile Norther Lights Chapter - Rocket Roundup Registration

The Oldsmobile Northern Lights Chapter is a car club dedicated to all Oldsmobiles 1897 to present. Ownership of an Oldsmobile is not compulsory.

Rocket Roundup 2014 Registration

Last Name:		City:
First Name:		Province:
Address:		Postal Code:
NLOC Membership ID:		Email:

Please enter quantities for the items you wish to order, and calculate the totals:
Vehicles: (Member Pricing - 1st Car $10.00, additional cars $5.00 each. Non-Members pay $20 / $10 as per below.)
Note: You can purchase a membership at the bottom of this form.			Quantity	Price	Total

1. Year:	Model:	Member Price:
Body Style:		After July 12, 2014 and Non-Member Price:

2. Year:	Model:	Member Price:
Body Style:		Non-Member Price: After July 12, 2014 and Non-Member Price:

Northern Lights T-Shirt:		Small
		Medium
		Large
		Extra Large

Northern Lights Golf Shirt:		Large
		Extra Large


Northern Lights Chapter Membership (Expires January 31, 2016): (NEW MEMBERS ONLY - STARTING IN JULY)

Ensure this Total is correct, then click submit to pay				Total
Your transaction can not be completed until payment is made! If you are not paying through Pay Pal, please download the printed form and mail in with payment.