ACMOC Membership Form

Antique Caterpillar Machinery Owners Club
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Antique Caterpillar Machinery Owners Club

Membership Registration Form

(Please check the appropriate boxes)

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New Member

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Renewal

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Up-Date S/N list

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Up-Date Address

(Please Print or Type)
Name_______________________________________________ Date_____/_____/_____
Mailing Address____________________________________________________________
City______________________ State________ Zip____________ Country_______________
Telephone Number ________________________
EMAIL address (optional) _____________________________________________

______ Check if you do not want your contact information to be available to other ACMOC members.

______ US Members, check if you would like first class newsletter delivery ($6 per year).

January 1, 2008 to December 31, 2008
Subscription dues - $30 US * $36 Canada * $42 Overseas.
Three year Subscription ($5 savings) - $85 US * $103 Canada * $121 Overseas

Signature_________________________________________ Amount Enclosed $______________ US Funds

*Dues: For year 2008 term, $30.00 for U.S.A., $36.00 for Canada members, $42.00 for all overseas members. All rates are in US funds. Credit cards now accepted. Dues will not be prorated. If you join at a midpoint in the subscription period you will receive all previous issues of the magazines for the period.
**Magazines & Mailing : Magazines will be mailed six times a year. US Members have the option of first class delivery for an additional $6 per year. All sent to Canada are first class. All other overseas magazines will be Air Mailed.

Mailing address:

Antique Caterpillar Machinery Owners Club
7501 N. University Suite 119
Peoria, Illinois 61614

Office: (309) 691-5002
Fax: (309) 296-4518

FORM REVISED 02.29.08