Application for Membership 2008
Yankee Chapter Inc.
Antique Motorcycle Club of America

Name ________________________________________________

Address ______________________________________________

City __________________________________________________

State ____________________ Zip _________

Phone (_____)_____-________ E-mail ____________________

AMCA #________________
          (You must be a National AMCA member in good standing.)

 E-mail _________________________________________

$15.00 - Family Membership (includes one associate member)

Associate members name _____________________________________

Please make your check payable to:
Yankee Chapter, Inc.
Mail to:
  Sandra Gallo
  31 Atwoodville Lane
  Mansfield Center, CT 06250

Requests for membership in the National AMCA should be sent to:
Dick and Wanda Winger, Membership Chairpersons
PO Box 310
Sweetser, IN 46987
Dues are $30.00 for a family membership which may include one associate