Membership Application Membership Application Leave this field blank Name Significant Other (optional) Home Address Cell Phone Email Emergency Contact Name, Relationship & Number Miata Color Miata Year License Plate Miata Color Miata Year License Plate Miata Color Miata Year License Plate Send Or for online payment options, Venmo or PayPal please email Barb Or, You can send your Dues Payment with your name and memo for Annual Dues to: Les Bois Miata Club P O Box 6845 Boise ID 83707-0845
