Name:        Spouse's Name:

Address:        City:        Zip:

Occupation:        Email:

Home Phone:   Cell Phone:   Work Phone:

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Are you a CORSA Member? Other Car Club(s)?

Describe the Corvairs you own:


Are you a long-time Corvair owner?

Do you do your own mechanical or body work?

How did you hear about ACCA?

Why do you want to join ACCA?

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The Success of a car club depends upon the involvement of its members.
Please indicate the areas below that you are interested in. (Mark with an "X")

Officer     Parts Person     Board Director     Historian    
Tech Committee     Fund Raising     Auto Shows    
Newsletter Committee     Caravan Trips     Special Functions    

(We realize that members who live long distances from SAT cannot be as actively involved)
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The answers to the following will help ACCA Officers and Directors plan future meetings.

1. Problem areas, and subjects for Technical Sessions:


2. Interesting places to hold meetings:


3. Restaurants I have known (Good, Bad, and/or Ugly):


4. Car related events, shows tours and swap meets:


5. Fund raising ideas:


6. Friends of mine who may want to join ACCA:


This extra space for answers to questons above:


One year's Membership is $25.00. Make Checks payable to: ACCA.

After clicking on the "Process Application" Button,
you can then send check or money-order to:

ACCA-Tom Robinson, Secretary
P.O. Box 2125
Seguin, Tx. 78155