BECC Membership Application

Applicants must meet eligibility requirements.

BOEING EMPLOYEES' COIN CLUB

The Boeing Employees' Coin Club meets the fourth Wednesday of each month (unless otherwise announced) at the Oxbow Activity Center, Building 9-150, at 5:30 p.m. Membership is open to all Boeing employees, retirees, on-site vendor, customer and government representatives, and their families. 

NEW! BECC address: Boeing Employees' Coin Club (or B.E.C.C.), PO Box 6314, Kent, WA 98064. Membership applications may also be sent to David Buehler by in-plant mail, or to Jack Johnson (see below) for retirees.

Coin Club Activities/Benefits

Annual Coin Show, Annual Medals Program, Annual October Banquet, Guest Speakers, Displays and Exhibits, Refreshments, Auctions, Library, Door Prizes

BECC Membership Application (Rev. 1/24/2007)

To join or renew, return this form to David Buehler, Employee Representative, Phone 425-294-6865, Mail Code 0R-CA.
Retirees mail to Jack Johnson, 15703 25th Ave SW, Burien, WA 98166-2603 (phone 206-242-8705).
Applications and dues received in the 4th quarter will also be good for the following year.

_____ Individual ($8.00)   _____ Family ($10.00)   _____ Retiree ($5.00)
_____ New   _____ Renewal

Name: _____________________________________________________________

Address: _____________________________________________________________

City: ___________________________________  State: ________________ 

ZIP: ___________________

Home Phone (optional): ________________  Work Phone: _______________

Mail Code (required for employee members): _____________

Personal e-mail (optional)*: ___________________________________

Date of application: ____________ 

Cash: __________  Check No.: __________  Received by: ______________

*Note: personal e-mail required to receive monthly newsletter in digital form (PDF file).

BOEING EMPLOYEES COIN CLUB

RELEASE AND INDEMNITY AGREEMENT

I state that I wish to participate in activities offered by the BOEING EMPLOYEES COIN CLUB (hereinafter referred to as “the Club”), a Boeing Recreation Club. I recognize that any club activities may involve certain risks and dangers. I certify that I am aware of all the obvious and inherent risks of the Club’s activities, including but not limited to: inadequate safety equipment, miscalculations, inexperience, improper training, equipment malfunctions, human error, accidents or illness in areas without medical facilities, the forces of nature, and the actions of any other members, any participants or any other persons all of which may result in personal injury, death, property damage and other losses.

In consideration for the right to participate in the Club’s activities, I hereby release the club and their directors, officers, instructors and members and the boeing company, its directors, officers, and employees from any and all liability, claims and causes of action arising out of or in any way connected with my participation in any of the club’s activities. I personally assume all risks in connection with these activities, and further agree to indemnify the club and its directors, officers, members and instructors, and the boeing company, its directors, officers, and employees from all liability, claims and causes of action which I may have arising from my participation in club activities. The terms of this agreement will serve as a release and indemnity agreement for my heirs, personal representative, and for all members of my family, including any minors.

I further state that I am eighteen (18) years of age or older and legally competent to sign this release that I understand these terms are contractual and not a mere recital, and that I have signed this document as my own free act. (Parents or legal guardians must sign for all persons under eighteen (18) years of age).

I have fully informed myself of the contents if this release and indemnity by reading it before I signed it. 

_____________________________                          _____________________
(Name)                                                                        (Date)

_____________________________
(Name - printed)

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