Ancient City Region
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Membership Application

The ANCIENT CITY AUTO CLUB is also known as the ANCIENT CITY REGION of the Antique Automobile Club of America (AACA),

America’s oldest and largest Automotive Historical Society. Membership in AACA provides us with insurance coverage on

requested activities and events as well as subscriptions to the AACA magazine, ANTIQUE AUTOMOBILE, which is published

monthly. Of the $55 annual dues paid to Ancient City Auto Club, $35 is forwarded to AACA.

Please tell us about yourself.

Date of Application_____________________________________________________________________

Name ___________________________________________________________________________________

Spouse/Other____________________________________________________________________________

Address_________________________________________________________________________________

________________________________________________________________________________________

Telephone__________________________________Cell ________________________________________

E-mail Address__________________________________________________________________________

Birthdays (month/day-no year)_____________........._____________________________________

Anniversary_____________________________________________________________________________

Special Interest Vehicles_______________________________________________________________

Other interests and hobbies_____________________________________________________________

Please tell us about your special interest vehicles, including the year, make, model or series, body style and any other pertinent information.

The back of this page is available too! Please return completed application to any member of the Ancient City Auto Club, or to:

John Guarnieri
410 23rd St.
St. Augustine, Florida 32084
lilredtk@bellsouth.net
904-825-6751