Test page with Drop Down choices

test form 2 with categories

Name

First Last

Spouse/Partner

First Last

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email

Phone

Spouse/Partner Email

Spouse/Partner Phone

PAS MEMBERSHIP DUES

Your PAS dues now include AACA membership. If you are already an AACA member, please provide your membership number. Renewing PAS members must enter this information so we can notify AACA that your dues have been paid for another year. Going forward, AACA dues are included with your PAS membership — a two-for-one benefit.

MEMBER SITUATION(Required)

[S1-RENEW] I am renewing my PAS membership

[S3-NEW] I am new to PAS (not currently a PAS member)

[S2-AACAJOIN] I am an AACA member joining PAS for the first time

MEMBERSHIP TERM(Required)

[TERM-FULL] Full Year (January 1 – December 31)

[TERM-HALF] Half Year (July 1 – December 31 — half price)

PAS Dues (Renewal — Full Year)

Select your PAS membership class

PAS Dues (Only after July 1)

Select your PAS membership class

[AACA-FULL] First Year Special — $20

Select your PAS membership class

[AACA-HALF] — $10

[S3-NEW] I am new to PAS (not currently a PAS member)

Select your PAS membership class

[S3-NEW] I am new to PAS (Only after July 1)

Select your PAS membership class

AACA Member #

Sub Total

Regional Membership Dues (Optional)

If you belong to a PAS Region, you can conveniently pay your annual regional dues here. Select any region(s) and options that apply. These selections will be added to your total at checkout.

If you are not participating in a region this year, simply leave everything unchecked and continue.

Northern California Region Dues

[NCR-DUES] Northern California Region Dues – $15

[NCR-DON] NorCal AAAC Donation – $5

[NCR-DUES] Northern California Region Dues

Price:

[NCR-DON] NCR AAAC Donation

Price:

Great Lakes Regions Dues

[GLR-MAIL] GLR Member Region Dues – Mailed & Emailed Newsletter — $20

[GLR-DIG] GLR Region Dues – Emailed Only Newsletter — $10

[GLR-MAIL] GLR Member Region Dues – Mailed & Emailed Newsletter — $20

Price:

[GLR-DIG] GLR Region Dues – Emailed Only Newsletter — $10

Price:

New England Region Dues

[NER-DUES] NER Annual Member — $20

[NER-DUES] New England Region Dues

Price:

Support the Pierce-Arrow Museum

Please help support the Pierce-Arrow Museum, operated by the Pierce-Arrow Foundation on the grounds of the Gilmore Car Museum. Museum membership includes admission to the entire Gilmore Car Museum campus, featuring more than 400 vehicles and the museums of our partner organizations: CCCA, Franklin, Model A Ford, Lincoln, Cadillac-LaSalle, and HCCA.

The Pierce-Arrow Museum is a 501(c)(3) nonprofit, supported entirely through memberships and donations. Your support helps preserve and share Pierce-Arrow history for future generations.

Museum Membership options

[MUS-BAS] Museum Annual Basic – Member & Spouse – $40

[MUS-CONT] Museum Contributing Level – Member, Spouse & Guest – $100

[MUS-SUPP] Museum Supporting Level – Mewmber, Family & Guests – $500

[MUS-OTH] Other donation amount

[MUS-BAS] Museum Annual Basic – Member & Spouse – $40

Price:

[MUS-CONT] Museum Contributing Level – Member, Spouse & Guest – $100

Price:

[MUS-SUPP] Museum Supporting Level – Mewmber, Family & Guests – $500

Price:

Other museum donation amount

Total due

COPYRIGHT 2022 PIERCE-ARROW SOCIETY ~ ALL RIGHT RESERVED