New Membership Application

The Antique Automobile Club of America (AACA)

APPLICATION FOR NEW MEMBERSHIP

AACA yearly membership runs on a calendar year from January 1 through December 31

1/2 Year membership runs July-December

Ownership of an automobile is not a prerequisite of membership!

If you are a current or previous AACA member, DO NOT fill out the new membership form,
click here to renew.

Please fill in all membership information.

Required Fields (*)

Applicant First Name *
Applicant Middle Initial
Applicant Last Name *
Applicant Suffix
Spouse/Partner First Name
Spouse/Partner Middle Initial
Spouse/Partner Last Name
Spouse/Partner Suffix
Company Name
Address 1 *
Address 2
City *
Country
State/Provence *
Zip/Postal Code *
Phone *
E-Mail *
Spouse/Partner Phone
Spouse/Partner E-Mail

Membership Type	U.S. Individual Membership ($45.00) U.S. Joint Membership (includes spouse/partner) ($45.00) Non-U.S. Individual Membership ($50.00) Non-U.S. Joint Membership (includes spouse/partner) ($50.00) Student Membership (up to age 25) ($12.00) U.S. Life Membership (includes spouse/partner) ($700.00) Non-U.S. Life Membership (includes spouse/partner) ($900.00)
Number of Years
Total Membership Fee	45.00
Comment

ANTIQUE AUTOMOBILE CLUB OF AMERICA
800 W. Hersheypark Dr
Hershey, PA 17033
Phone (717) 534-1910