ALC Membership Form

Become a Member of the American Lancia Club

Already a Member? Use this form to renew your membership.
Name*

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Address*

Street Address

Street Address Line 2

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Postal / Zip CodeCountry
E-mail*
Phone Number

Area CodePhone Number
Lancia cars owned
Year
Model
Series
Chassis Number / Special information
Year2
Model2
Series2
Style2
Chassis Number / Special information2
Year3
Model3
Series3
Style3
Chassis Number / Special information3
Year4
Model4
Series4
Style4
Chassis Number / Special information4
Year5
Model5
Series5
Style5
Chassis Number / Special information5
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Are you currently an ALC Member?*

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Membership Number
Annual Membership*
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USA Membership$50

International Membership$50

Total $0.00
Dues entitle a member to vote, to receive our publications and a membership roster. Members may place free ads in the Mercato, purchase club regalia, and attend regional and national meets. All memberships expire December 31st.
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