TRAACA Membership Form
Please complete the form below.  When you are done, print it out and sign it, enclose a check or money order for $20 made out to TRAACA, and mail to the TRAACA Membership Chairman:

Bob Parrish - Membership Chairman
1221 Smokey Mountain Trail
Chesapeake, VA 23320

Name:

Spouse:

Street:

City:

State:

Zip:

Home Phone:

Work Phone:

Spouse Work Phone:

email:

 Include in online register? Yes    No
Antique Autos Owned:  Under Condition, please select one of the following codes:  (O) Original; (U) Unrestored; (UR) Under Restoration; (PR) Partly Restored; or (R) Restored.  If you know the vehicle judging class, please provide it.

Year

Manufacturer

Make

Body Style

 Condition AACA Class

1

2

3

4

NOTES:
You must be a member of the National Antique Car Club of America to be a member of the TRAACA.  AACA Membership Forms are available from TRAACA or from AACA National.
Annual Dues are $20 - payment must accompany this application.  Please make checks payable to TRAACA.  Annual dues are payable on or before December 31 for the following year.
Applicants meet with the Board at the next regularly scheduled meeting (Second Tuesday of each month)

Applicant's Signature

 ________________________________

National AACA#

Sponsor's Signature

 ________________________________

National AACA#

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