CENTRAL CONNECTICUT REGION AACA RENEWAL FOR 2017
Membership renewals for 2017 are now due. You must be a member of the Antique
Automobile Club of America to be a member of the Connecticut Region. Please renew today. Thanks.

* Dues for the Central Connecticut Region are $ 15.00

* Dues for AACA are now $ 35.00 which can be included with your region renewal but YOU

MUST INCLUDE YOUR AACA MEMBERSHIP NUMBER.

Please complete the following and return with payment to:

Fred Glabau
20 Misty Mountain Road
Kensington, CT 06037
_ _ _ _ _ _ _ _ _ _ _ _ _

DATE _________________

□ DUES FOR CCR $ 15.00

□ DUES FOR AACA $ 35.00 BEFORE DECEMBER 31, 2016

AMOUNT ENCLOSED $___________________

NAME ____________________________________________________________

AACA MEMBERSHIP NUMBER _______________________________________

ADDRESS _________________________________________________________

CITY _________________________________STATE _____ ZIP _____________

EMAIL ____________________________________________________________

Changes in cars owned, etc. for our Roster __________________________________

Enclosed is my check, payable to: CCR AACA

I have already renewed my AACA membership _______________________________

Signed_____________________________________________________________