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Antique and Classic Car Club of Canada
I’m interested in Joining the ACCCC
Name
*
First
Last
Additional Name (Spouse)
First
Last
Address
*
City and Province
*
Number of Antique
Postal Code
*
Phone Number
*
Email
*
Region
*
Bluewater Region
Brampton Region
Chemical Valley Region
Durham Region
Great Pine Ridge Region
Kawartha Lakes Region
Kent Region
Niagara Region
Nottawassaga Region
Peterborough Region
Rideau Lakes Region
Rouge Valley Region
Upper Canada Region
Preferred Method of Payment
E-Transfer (we will contact you with info)
cheque or Money Order
Cash (payable at your first event)
Vehicle 1
Vehicle 2
Where Did You Hear About Us
Thru Website
Another Member
Handout at Car Event
Store Flyer
Submit
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