B.J. THOMAS FAN CLUB
MEMBERSHIP APPLICATION

(PLEASE PRINT)

NAME ______________________________________________________________

ADDRESS __________________________________________________________

CITY _________________________________ST ______________ ZIP _________

PHONE (        )________________  DATE OF BIRTH ____________

E-MAIL ADDRESS ___________________________________________________

WHERE/WHEN LAST SAW B.J. ________________________________________

COMMENTS _______________________________________________________

___________________________________________________________________

Membership Includes: Autographed photo, quarterly newsletter, itinerary, itinerary updates, membership card & exclusive Fan Club merchandise
Annual Dues: US $17.50 - International $22.50 - US FUNDS ONLY


Please enclose check or money order payable to: B.J. Thomas Fan Club

Mail membership application along with check or money order to:

B.J. THOMAS FAN CLUB
P.O. BOX 1632
WHITTIER CA 90609-1632