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 covers the second half of the membership year July-December (includes 3 issues of Antique Automobile Magazine)

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 (1/2 Year – July-December) ($25.00) U.S. Joint Membership (includes spouse/partner) 1/2 Year – July-December) ($25.00) 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)
	Note: 1/2 Year membership provides three issues of the Magazine. Full membership provides six issues of the Magazine.

Number of Years
Total Membership Fee	25.00
Comment

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