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Mail-in Membership Application

We've waived the enrollment fee - Save $10! You can add a second family member for half-price - Save $15.50! (Usually $31)

You can add a second family member for $15.50! Each additional Associate is only $31 per year.

Each additional Associate is only $32 per year.

Print this form and send it with your check or credit card number to: AAA Washington Membership, 1745 - 114th Ave. SE, Bellevue, WA 98004

___PLUS

AAA's best value membership! All the terrific benefits of AAA, plus free towing up to 100 miles (nominal charge thereafter) and extended services. Perfect for anyone who wants AAA's broadest, best-value coverage, for people commuting more than 5 miles to work or for those who do a lot of traveling in their cars. Only $89 a year. (We've waived the $10 activation fee.)

___PLUS RV*

Sign up for AAA PLUS RV for all of the coverage of AAA PLUS on RV's, motorcylces, pickups with campers, and eligible vehicles towing eligible trailers. Only $125 a year. (We've waived the $10 activation fee.)

___BASIC

Great AAA coverage at its most affordable rate with free towing up to 5 miles (nominal charge thereafter) and all the other benefits of AAA membership, for just $56 a year. (We've waived the $10 activation fee.)

___PLUS

AAA's best value membership! All the terrific benefits of AAA, plus free towing up to 100 miles (nominal charge thereafter) and extended services. Perfect for anyone who wants AAA's broadest, best-value coverage, for people commuting more than 5 miles to work or for those who do a lot of traveling in their cars. Only $89 a year. (We've waived the one-time $10 activation fee.)

___PLUS RV*

Sign up for AAA PLUS RV for all of the coverage of AAA PLUS on RV's, motor homes, pickups with campers, motorcycles, and trailers. Only $119 a year. (We've waived the one-time $10 activation fee.)

___BASIC

Great AAA coverage at its most affordable rate with free towing up to 5 miles (nominal charge thereafter) and all the other benefits of AAA membership, for just $55 a year. (We've waived the one-time $10 activation fee.)

*See Emergency Road Service Guidelines for a list of eligible trailers.

Primary Member Information

First Name_____________ Initial___ Last_________________

Address_________________________________________________

City____________________________ State______ Zip___________

Day Phone (___)____________ Evening Phone (___)____________

E-mail Address_________________________________

Is your Mailing Address the same as above? ___Yes ___No

Mailing Address__________________________ Apt. #___________

City____________________________ State______ Zip___________

Associate Member(s) Information

You can add a second family member for $16.00 for the first year.

___Also provide a one-year membership for my spouse, or one other eligible household member.

Associate Member(s) Information

You can add a second family member for half-price - Save $15.50! (Usually $31. Save $15.50 the first year.)

___Also provide a one-year membership for my spouse, or one other eligible household member. Each additional Associate member costs just $15.50.

First Name_____________ Initial___ Last_________________

Birth Yr. 19______

Additional Associate Member(s) Information

We offer associate memberships for children 25 and younger, living at home or away at school. Would you like to include them on your membership for an additional $32 per year each? ___Yes ___No

First Name_____________ Initial___ Last_________________

Birth Yr. 19______ ( )Son ( )Daughter

First Name_____________ Initial___ Last_________________

Birth Yr. 19______ ( )Son ( )Daughter

Payment Information

Total $__________

___I have enclosed my check, payable to AAA Washington.

___Charge my credit card.

( )Visa ( )MasterCard ( )American Express ( )Discover

Card Number________________________ Exp. Date_____

Signature__________________________

Your membership will be activated upon receipt of payment.


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