2024 AACA South Florida Region New Member Form

"*" indicates required fields

Member Name*

First Middle Last

Spouse 0r Significant Other Name

First Middle Last

Membership is considered a family, main member and spouse.

Member Address*

Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code

Primary Phone Number*

Add Remove

click + to add additional Ph: numbers

AACA National Number*

You must provide a NATIONAL AACA Member Number, if you have just applied, enter 000000 as the number for now, you must provide it within 30 days.

Primary Email*

Additional E-mail

Add Remove

click + to add additional Email addresses

Sponsor

Member's Birth Month*

JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember

Spouse's Birth Month

JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember

Below please enter the Year, Make and Model of your Antique

use the + sign to add additional vehicles

Year

Make

Model

 

Add Remove

Membership Choices*

New Membership Annual to 12/31/2024New Student Member ages 13-25 with Student IDLifetime Member (one time payment)

New Memberships will be valid from now until 12/31/2024

Quantity*

1

Total

Membership is from January 1 to December 31. Dues paid after Oct. 1 are good for the following year.

*You must be a member of the National AACA to be a member of AACA South Florida.The application is available at www.aaca.org. DO NOT SEND the National application to the local office

Once Payment is completed your application will be automatically submitted for review and you will receive a confirmation email.

Click on Pay Pal and the Credit Card/Debit Card option will show.
Your receipt from PayPal will read "MIAMI COLLECTOR VEHICLE ASSOCIATION INC"

Payment Method

PayPal Checkout

MasterCard

Visa

Supported Credit Cards: MasterCard, Visa

Card Number Expiration Date   Security Code Cardholder Name

Δ

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Membership entitles you and your spouse to 9 issues of the club magazine Sidelights, all of our other events – car shows, picnics, brunches, tours, a progressive dinner, an annual Holiday party, and our Occasional Sunday Morning Drives – are free or subsidized for members.

Make sure you enroll in AACA National as well