Join MBCA Now! Join MBCA Now!

MBCA GENERAL INFORMATION

New Member Application Form

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Fields marked with an * are required:

Member Information







Address






*Please enter either a Home Phone, Business Phone, or both



Areas of Interest:
Mercedes-Benz Vehicles Now Owned:

This will update the first 5 cars contained in our records. If you have more than 5 cars you would like to make changes to, please call the National Business Office. Please choose the closest name from the model drop-down list.

 
Year
Model
Vehicle #1: 
Vehicle #2: 
Vehicle #3: 
Vehicle #4: 
Vehicle #5: 
How did you hear about us?
*Length of Membership:

Your membership fee includes dues for national membership and one local section. Your local section will be automatically assigned based on your zip code. An extra fee of $15 is charged for belonging to a second section. If you would like to join a SECOND section, you may join one below.




If you would like to be a member of a second section, cost is $15 per year. Second section membership must be purchased on same terms as regular membership (1, 2 or 3 years).

OR
You may also join by phoning us toll-free at 800-637-2360 or mailing a printed form to:
MBCA
1907 Lelaray Street
Colorado Springs CO 80909-2872
(719)633-6427
8am to 5pm Monday through Friday (MT)