Applicant's First Name *    Spouse’s First Name  

Applicant's Last Name *

Address *     

City *      State        Country *      Zip / Postal Code

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)

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

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) Please Select A Membership Type Annual Dues $45.00 for United States Members Annual Dues $55.00 (U.S Funds) for all other countries 3 Year Membership Dues $135.00 for United States Members 3 Year Membership Dues $165.00 (U.S Funds) for all other countries Life Membership Dues $1,250 for United States Members Life Membership Dues $1,500 for other countries New Membership 1yr, $60.00 + 1 Classified ad with a picture for US Members New Membership 1yr, $70.00 + 1 Classified ad with a picture (U.S Funds) for all other countries Life Membership Update (No Payment Required)

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)