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RVR-AACA Membership Application Form
Are you a current member of National AACA? If no, you need to complete that application as well.
National AACA Membership
* Indicates required question
Email
*
Record my email address with my response
Full Name:
*
Your answer
Spouse's Name (if applicable):
Your answer
Street Address:
*
Your answer
Street Address 2 (if applicable):
Your answer
City:
*
Your answer
State:
*
Your answer
Zip:
*
Your answer
Phone Number:
*
Your answer
Occupation:
*
Your answer
AACA National Membership Number:
Are you already a National AACA member? If so please provide your number. If not you will need to become a member of the National AACA first.
AACA New Membership Application
Your answer
Antique Vehicle - Year Make Model - 1:
It is not necessary to own an antique automobile in order to be a member. If more than 5 antique vehicles, please email a separate list to
treasurer@roanokeaaca.org
.
Your answer
Antique Vehicle - Year Make Model - 2:
Your answer
Antique Vehicle - Year Make Model - 3:
Your answer
Antique Vehicle - Year Make Model - 4:
Your answer
Antique Vehicle - Year Make Model - 5:
Your answer
RVR-AACA Membership Annual Dues:
*
Single/Joint Regular Membership - $15
Free - Student Membership (ages 16-25) - $0
Free - Junior Membership (up through age 15) - $0
Send me a copy of my responses.
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