Mid-America Old Time Automobile Association

Application for Membership in MOTAA & Subscription to Antique Car Times

Please Print, Fill, & Mail.

 

Name                                                                     Spouse Name                                                

 

Address                                                                                                                                        

 

City                                                 State                                     Zip                                            

 

Phone                                         Occupation                                 Email                                        

List the cars owned by:

Make         Model         Year         Body Sty       Cyls.       H.P.     Eng No       State     Tag No.   

                 
                 
                 
                 
                 
                 

List the Antique Car Organizations you belong to:                                                                       


OWNERSHIP OF AN ANTIQUE CAR IS NOT PRE-REQUISITE FOR MEMBERSHIP IN MOTAA.

{Please Print }                                                                       hereby apply for membership in The Mid- America Old-Time Automobile Association and enclose $30.00 as Annual Dues for One Year from January 1 to December 31, for the year                            . $20.00 of this amount is for a subscription to Antique Car Times, and $10.00 is for dues, for a total of $30.00 for one calendar year.  Please make check or money order payable to:

MOTAA
Petit Jean Mountain, 8 Jones Lane, Morrilton, Arkansas  72110
501-727-5427

Antique Car Times is published 4 times each year. Members are encouraged to submit photos and background information on all cars owned, plus any news of interest in the hobby from individuals or clubs to be included in future issues.

Membership entitles one to attend all Association functions and to compete for prizes and trophies at all MOTAA sanctioned meets.

 

                                                                                                                                                            

       Applicant's Signature                    Date                                        Approved by Secretary

 


 

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