Membership Application
for the Lake Erie Region of the
Antique Automobile Club of America
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Name |
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Spouse’s Name |
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Address |
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City / State / Zip |
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Phone Number |
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National AACA Number |
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Occupation |
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Birthday / Anniversary information is optional:
Birthday (month & day)
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Spouse’s Birthday (month & day)
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Anniversary (month, day, & year)
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Do you own antique cars, trucks, motorcycles, or production and
classic automobiles? If so, please fill in form completely.
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Manufacturer |
Year |
Model |
Cylinders |
Body Style |
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Name of Member Sponsor (optional)
Make check or money order payable to LAKE ERIE REGION, AACA.
Print this page, complete the information and mail it to:
Lon Wilson
LER AACA Membership Chair
235 Villa Avenue
Buffalo, NY 14216.
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