Membership Application

Here’s how to join the fun!

Step 1.Join the national AACA. Complete this section, annual $40.00 dues.

(If you are a member of the national Antique Automobile Club of America please furnish Card #________________)

Name   ______________________________

Spouse’s Name    ____________________________

Address  ____________________________________________

City    ____________________________________

State   ______________

Zip   ________

Applicant’s signature

Step 2.

Join the Fort Vancouver – Rose City  Region. Complete this section, annual $15.00 Single dues (a single check for both  memberships if applicable) to:

Fort Vancouver-Rose City Region AACA

c/o Joseph Block

37104 SE Mount Norway Dr

Washougal, Wa 98671

 

Name      ______________________________

Spouse’s Name  ____________________________

Address____________________________________________

City   ____________________________________

State  ______________

Zip  ________

Home Phone (Landline)   _________________________

Cell Phone   ____________________________

Email Address   _____________________________

Applicant’s signature   

_____________________________________________________

Please list your Classic and Antique vehicles (25 years and older) owned:

(Note—this information is requested for our membership information only; you aren’t required to own a collectible car to join.)

Year and make