Mason-Dixon Region AACA

Mason-Dixon Region AACA Membership Renewal Form

Name ________________________________________________________ Birth date _________________
Name ________________________________________________________ Birth date _________________
Address ________________________________________________________ Telephone# _________________
  ________________________________________________________ National AACA# _________________

Joint Membership  $14

Single Membership $14

Amount enclosed _________  Make check payable to Mason-Dixon Region AACA

Mail to:  Betty Sterner, Treasurer  325 Suelinn Drive, Chambersburg, PA 17201-8287  

 

Please print out, complete and mail this form prior to the December 31 renewal deadline to avoid the late renewal fee.  If you would like a membership card to be returned to you, please include a self-addressed, stamped envelope with your payment.  Thank you.