The American Auto Club UK

Membership Form

Simply fill out each appliccable section then click Continue - This will create a printable PDF - Check the info then print and send to the address on the PDF.

Personal Details

Membership type:
Primary Member First Name  Last Name 
Joint Member Name (if applicable) First Name  Last Name 
Primary Address
Example
16 Galsworthy rd,
Edgeway,
Durham,
England
Post Code
Phone/Mobile
Email
Introduced By
These details will be kept on the clubs computer. If you object to your details being passed to your area rep please tick the box.
Do not pass my details to an area rep

N.B. details will NOT be released to a third party without first obtaining your permission.

Vehicle Details

Make
Model
Year
Color
Engine size
Registration Number
Features:

Junior members

Junior 1First Name  Last Name  Date of Birth 
Junior 2First Name  Last Name  Date of Birth 
Junior 3First Name  Last Name  Date of Birth 
Date of birth is used to display Birthday Greeting in the club magazine
For more junior members please send details on a separate sheet.

Additional Information

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