PERSONAL INFORMATION
Your personal details will only be used to contact you. We will never share or sell your information in any way.
First Name:
Occupation:
Last Name:
Gender:
Male
Female
Birthday:
Age:
Address:
State:
New York
New Jersey
City:
Zip Code:
Phone:
AA Forum Name:
Mobile:
VW Vortex Name:
Email:
Website:
Myspace URL:
AOL IM:
VEHICLE INFORMATION
Year:
Make:
VW
Audi
Model:
Color:
List your specs and any customizing / modifications of your vehicle here:
Engine / Exhaust:
Transmission:
Wheels / Tires / Brakes:
Suspension:
Exterior:
Interior:
Lighting:
Sound:
Plans for your car (if any):
Additional:
ADDITIONAL INFORMATION
Would you like to receive email from Autobahn America about news and events?
Yes
No
How did you hear about Autobahn America? (optional)
Friend
Sticker on Member Car
Search Engine
vwvortex.com
Flyer / Advertisement
Event / Car Show
An Online Forum / Discussion Board
Myspace
Magazine
Current Member:
Other:
Why do you want to be a part of Autobahn America?
Reasons that you will be unable to attend events on a regular basis: (ex: school, work, location, etc)
- By submitting this application you are aware that you are not guaranteed membership to Autobahn America.
- Only applicants that have met a club representative, or made other arrangements will be considered for membership.
- To find out how you can meet club members or a representative, please email
info@autobahn-america.com
- Any questions or problems while completing this form, please email
info@autobahn-america.com
- We look forward to having you as part of the group!
links
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want to join the club?
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submit an event
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members only
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webmail
