Algonquin Region, AACA, Inc. (AAAC) Algonquin Antique Auto Club                    Official Region of the Antique Automobile Club of America                       Located at Sidney, NY - 38 miles NE of Binghamton, NY

Application for Membership

Please Print

Name: _______________________________________________________

Street Address: ________________________________________________

City: ___________________________ State:______ Zip: ______________


Telephone: ___________________ Tel. 2: ___________________

E-Mail: ________________________________________________

Date of Birth: _______________________

Spouse Name: (Automatically a member when you join) _____________________________________________

Makes, years, and models of your vehicle collection: (You don't need any to be a member)






Your special interests:






AACA Membership Number:__________________
(AACA Membership is required for full membership and to show vehicles for trophies at any National AACA meet. Free Associate Membership is available. If you're already an AACA member, you can join our club at no extra charge)

Applicant's Signature: _____________________________________________
Please Mail Application with 1 years AACA membership fee of $35 to:

Gerald Mitchell, AAAC President
223 Latimer Road
Bainbridge, NY 13733 .