Membership Form - Bay State Antique Truck Club of MA

"*" indicates required fields

Name

First Last

Phone

Address

Street Address Address Line 2 City State ZIP Code

Select Membership or Dues ($15 per year)

Membership

Membership (for first time members)

Price: $15.00

Dues

Dues (for existing members to pay annual dues)

Price: $15.00

ARE YOU A MEMBER OF ANTIQUE TRUCK CLUB OF AMERICA (ATCA):*

If YES, List Your Member Number

Please Note – Your participation in Baystate Antique Truck Club Membership will require national club membership in the near future. Please visit the national Antique Truck Club site for more information.

Total

Select Membership or Dues ($15 per year)

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baystatechapteratca@gmail.com