New Member _____ Renewal______ Former Member #_______AMO #__________
Name:____________________________________ Spouse: ___________________
Address: _________________________________________ Apt.#______________
City:________________________________________________________________
State/Prov/Parish:__________________________________ ZIP_______________
Phone & Area Code ___________________________________________________
E-Mail: (optional)_____________________________________________________
Other National or Regional AMC Affiliation if any:__________________________
| Year | Model | Engine | Transmission |
Dues are U.S.Members $ 35.00 per year, Canada & Mexico Members $40 U.S. per year, Overseas Members $45.00 U.S. per year, Vendors/Business $100.00 U.S. per year Please Send a check or money order to: American Motors Owners Association, and mail it with this form to:
American Motors Owners Association Inc.
c/o Cheryl Samuel
892 N. Jackson Ave.
Jefferson, WI. 53549