STEAM AUTOMOBILE CLUB of AMERICA, Inc.
SACA Membership Secretary
David Lewis
P. O. Box 31
Carson City, MI. 48811-0031

Dues Notice and Directory Information Questionnaire

Please Choose One Option.

Option #1 []

I do not want any information about me, or my steam vehicles to appear in the SACA directory.

Option #2 []

I would like my personal information; name, address, phone #, and steam area interests to be listed in the directory, but not any information about the steam vehicles that I own.

Option #3 []

I would like all of the information that I am going to put down on this form listed in the directory so that other SACA members will be able to communicate with me about our mutual steam interests.

The Directory will be composed of information from this form and is available to all SACA members and none
of it is given to non- SACA members. The purpose of the Directory is to encourage communication and the
exchange of knowledge and experience among our members. This is the greatest value of membership in the club.

Name: _______________________________________
Address: _____________________________________
_____________________________________

Phone: _______________________________________
Fax: _______________________________________
E mail: _______________________________________

Personal website address: _____________________________________________________________________
List of steam vehicles and equipment owned: _____________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________

Is this is a renewal? Look at the date printed on the top right comer of the address label on this Bulletin to
see when your club dues need to be paid.

Member Dues: USA, Canada, Mexico plus All Other Countries who wish to download the Bulletin as a color pdf.
Members in USA, Canada and Mexico will be mailed a monochrome copy of the Bulletin. All others will have access to a full color pdf file of the Bulletin at our web site.


$35 / 1 year   ___________
$68 / 2 years ___________
$99 / 3 years ___________

 

Member Dues: All other Countries' for Print Copy of Bulletin including Shipping Fees: This rate is only for members in other countries who wish to have a monochrome copy of the Bulletin mailed to them. This includes member dues.


$75 / 1 year ____________ This fee is only for members outside of
$144 / 2 years ___________ USA, Canada and Mexico who wish to
$207 / 3 years __________ receive a mailed copy of the Bulletin.

:
Contribution to the SACA general operating budget:


___________ (Adds to the quality of club activities)

:
Contribution to the Annual Time Trials prize money:


___________
(Prizes are paid from donations only)

TOTAL

___________


Areas of interest: (please check those that apply to you.)

[] Development of a modem steam powered vehicle.

[] Antique steam vehicle reproductions.

[] Antique steam vehicles and restoration.

[] Steam power in general.

[] Home made steam vehicles.

[] Study of steam power theory.

 

[] Other ______________________________________________________________________________

I am interested in contributing to the working of the STEAM AUTOMOBILE CLUB of AMERICA, Inc. and the accumulation of information of value for the club members by working in the following areas. The club depends on volunteer work, as we have no paid staffers.

[] being on an oversight committee for the Treasurer located in New York State.

[] being on the oversight committee for the Storekeeper located in Texas State.

[] organizing and hosting a local area group.

[] assisting the Storekeeper collecting printable information.

[] assisting the Editor writing articles.

[] assisting the Editor review books.

[] assisting the Editor interview members.

[] serving on the Board of Directors. 12 positions, looking for geographic representation as well as representatives of the diverse interests of club members. We are hoping for both continuity of experience in the club as well as making available a pool of talent to move into a staff or officer position in the future.

I am willing to assist the staff ... (please check an that apply)

[] Treasurer.

[] Editor of The Bulletin, soliciting articles, being a local reporter, and photographer.

[] Webmaster, putting information on the web, updating notices, editing the chat rooms.

[] with publicity.

[] advertise for and recruit new members.

[] with fund raising.

[] with organizing tours and meetings.

[] Membership secretary, sends out dues notices, records directory information.



Please mail this form and your check, if your dues are due this year to:

SACA Membership Secretary
David Lewis
P.O. Box 31
Carson City, MI 48811-0031

Rev 09112011