HORSELESS CARRIAGE CLUB OF AMERICA

Founded 1937

Application for Membership

Online Version

Ownership of a pre-1916 Horseless Carriage is not a prerequisite for membership in the HCCA

 

PLEASE COMPLETE ALL REQUESTED INFORMATION CAREFULLY AND CLICK JOIN NOW

OR

COMPLETE THIS FORM, PRINT IT AND MAIL WITH YOUR PAYMENT TO THE ADDRESS BELOW

(Fields marked with a * are required)

I would like to sign up for a: *
If you are Renewing your membership, in what year were you last an HCCA member:

If you are a Life Member "Updating" your membership information, fill out the form and select "Life Member Update", no payment required as your Membership Type

Applicant's First Name *    Spouse’s First Name  

Applicant's Last Name *

Address *     

City *      State        Country *      Zip / Postal Code

Home Phone Work Phone Fax:

Email Address:   

Check this box if you would like to receive HCCA announcements by email: 

Pre 1916 Horseless Carriages and Other Antique Autos Owned
(List in oldest order first)

Year Make Model Body Type No. of Cylinders HP Engine
Number		 Serial
Number

Want to list more cars in your collection? Just add them to the Notes Section at the bottom of this form

ANNUAL HCCA MEMBERSHIP: $45.00 for United States Members
  $55.00 (U.S Funds) for all other countries
   
THREE YEAR HCCA MEMBERSHIP: $120.00 for United States Members
Save $15.00                

$150.00 (U.S Funds) for all other countries

 
LIFE HCCA MEMBERSHIP:
One Time Payment          

$1,250.00 for United States Members

$1,500.00 (U.S Funds) for all other countries

The privileges of Membership include the following:

  1. One subscription to the Horseless Carriage Gazette per membership (6 issues per year) 
  2. Membership and membership cards with the same number for husband and wife. Membership cards are not issued to children.
  3. Listing of husband and wife in the next roster printed
  4. The right to vote in Horseless Carriage Club elections and hold office on the National Board is restricted to members owning a 1915 year model or older vehicle, or a vehicle manufactured prior to January 1, 1916.
  5. Members are entitled to one free classified ad of 50 words or less in each Horseless Carriage Gazette  provided it is not of a commercial nature and the ad pertains to vehicles and or automotive memorabilia made before World War II.
  6. Mailing or emails of pertinent announcements.
  7. Eligibility to participate in National Tours, Conventions, Nationally sponsored activities and eligibility for membership in HCCA Regional Groups.
  8. Discount on research and copying fees at the Horseless Carriage Foundation Automotive Research Library.

Annual Membership includes single individuals or family (e.g. husband, wife and all minor dependent children)
Life memberships in HCCA include all privileges provided to annual national members. Upon death, membership continues for the life of the surviving spouse.

Payment by Check, Credit Card, or Money Order are accepted in  U.S. funds only.
Checks must be in U.S. Funds, drawn on a United States Bank or they will be returned.

I hereby apply for the following membership in the Horseless Carriage Club of America * (All payment is in US Funds)

Want your Gazette Magazine delivered faster? Click this box: to Get it by First Class Mail for an additional $20.00.


 
(Use this box to include a list of other vehicles in your collection, or to make any notes or special requests)

 

 

Only complete the following boxes if you plan to print
this form and mail in your membership application

Payment by:   Check VISA  MasterCard  Discover        

Credit Card  # Exp . Date:

By typing my name below and inserting today's date, I authorize the Horseless Carriage Club of America to charge my credit card the amount listed above and agree to the terms of membership of the Horseless Carriage Club of America. 

Type your name: Today's Date

If you prefer to mail your payment, please complete this form, print it, attach payment, and Mail or Fax to:

HCCA Membership
PO Box 62 
Bakersfield, CA 93302
Fax: (661) 325-4570

Return to the Horseless Carriage Club of America web site without completing this form.