MEMEBERSHIP APPLICATION FOR DIXIE AMCA
Cost: $8 per year
(Please print application & send dues to:
Rose Hale, Treasurer; 1708 Indian Hills Ct., Augusta, Ga 30906
Any questions for Rose phone her @ (706) 796-0429 or , email her.)
PLEASE NOTE:   You MUST be an  AMCA national member to join the Dixie chapter. 

Name________________________

Address______________________

City, State,Zip___________________

AMCA national #_________________

Phone # (___)___________________

Bikes Owned (optional)_____________
 

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  GO TO NATIONAL AMCA MEMBERSHIP INFORMATION SITE
 
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