Member Application

AMCOMC New Member Application

What is included with
an AMCOMC membership?

Attendance at our monthly club meetings.

Access to restoration experts, who are also club members.

Exclusive invite to the annual AMCOMC club picnic and holiday party.

An AMCOMC Membership Card, which will grant discounts at participating Member Sponsor organizations.

Details about upcoming car events, including public shows, private garage tours, events hosted by AMCOMC, and more!

* Indicates required field

Vehicles in Current Collection (Please use large text box below if more space is needed).

Vehicle 1: Year *

Vehicle 2: Year *

Vehicle 3: Year *

Vehicle 1: Make *

Vehicle 2: Make *

Vehicle 3: Make *

Vehicle 1: Model *

Vehicle 2: Model *

Vehicle 3: Model *

If you need to add more vehicles, add them here. *

NOTICE OF DISCLAIMER
Please note that membership is contingent on the execution of this section. This Relationship (“Membership”) is submitted by and between the Antique Motoring Club of Monmouth County (d/b/a “AMCOMC”, “Organization”) and the signee below (“Member”). “Member” assumes all responsibility for all related risks, dangers, and hazards, and agrees that “Organization” is not responsible for any injury, damage, or cost caused by or to “Member” with respect to any person or property. All property losses, including damage to private property, vehicles, and/or personal injuries are the sole responsibility of “Member”. Submissions of claims for insurance reimbursement must be submitted by “Member” under their own personal or vehicular polic(ies). Any vehicle utilized within club events is required to be insured, registered, equipped with historical license plates, and equipped with an ABC ("tri-class" or "multi-purpose") fire extinguisher.

My electronic signature below indicates receipt and understanding of the disclaimer policy of “Organization” as it is outlined above. I understand that this policy is subject to change and if revised, a new policy will be posted and distributed to all members by “Organization”.

Your selection of "Yes" will represent your electronic signature. *

Submit

Please mail checks to:
AMCOMC c/o Treasurer Bernie Merer
93 Cheyenne Street, Tinton Falls NJ 07712

Please make checks payable to "AMCOMC".

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