Rocky Mountain AMC Logo

 

To join the Rocky Mountain AMC Club, complete the application
and print the page using your printer.
Then mail your completed form with $20.00 payment to:

Rocky Mountain AMC Club, Ltd.
8858 W. Maplewood Dr.
Littleton, CO 80123

Name:    
Age:       
Spouse:  
Address:
City:      
State:         Zip:  Country:
Phone #   Work Ph. # 
VEHICLE REGISTRATION - Please fill out the following information about your AMC car
(if no car, leave blank. If more than one car, please duplicate this page.
Year:     Model:  
Factory Serial Number:  
Current Odometer Reading:   Number of Previous Owners (If Known)  
Exterior Color (If not Original Color, Give Details)

Interior Color (If not Original Color, Give Details)

Engine Size:    Stock Modified   Transmission:
Factory Options:

Custom/Personal Items:

Do You: Race: Show:Daily Drive: Store: this AMC Car?  Have you won trophies in: Race:Show:
General Comments About Your Car:

Signature____________________________________ Date__________

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