BSAAC Membership Application

By submitting my application to the Bay State Antique Auto Club along with my annual dues payment of $25.00. I agree that if I am admitted into the BSAAC, I will abide by the By-Laws of the BSAAC and conduct myself in such a manner as to lend to the dignity of the Club. I further agree to comply with all traffic regulations and properly maintain my antique car in a safe operating condition.

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Applicant's Name

First Name* Middle Name Last Name*

Spouse's Name

First name Middle Name Last Name

Address, Phone, Email

Address 1:*

Address 2:

City*

State*

Zip*

Phone*

Miscellaneous Information

Occupation

Hobbies or Other Interests

Other Organizations you are a member of

Auto 1

Details of your auto here.

Make Year Model Color Condition

Auto 2

Details of your auto here.

Make Year Model Color Condition

Auto 3

Details of your auto here.

Make Year Model Color Condition

Solve this to activate the submit process.

Online payment can be made by clicking the Shop menu.

You membership application has been subitted! Thank you!

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