Mail Registration Form and Dues to:
N.I.C.E. AMC
1902 Whitestone Drive
South Beloit, Il. 61080-8006
Membership Application
First Name: ________________________Last Name: __________________________________
Spouse's First Name: ______________________Last Name: ____________________________
Address: _______________________City: ____________________State: _____Zip: __________
Phone: ___________________Cell Phone: ___________________Work: ___________________
Are you a member of other Club(s): ____Yes ____No
If Yes,what club(s): ______________________________________________________________
About Your Car(s)
Year: _____Make: __________Model: __________Factory Serial #: ________________________
If AMX,Dash Plaque #: ________________________________________
Current Odometer Reading: _________Engine Size(C.I.D.) __________Modified?: ____Yes ____No
If Modified,How?: __________________________________________________________________
Factory Options: ___________________________________________________________________
Do You: _____Race _____Show _____Drive Daily _____Drive Occasional _____Stored Only _____
If you race, best E.T. ______best MPH: _____
If more than one car, please submit a page for each car
Northern Illinois Collectors Everything AMC is dedicated to the preservation and enjoyment of American Motors vehicles, to include Rambler, AMC and AMC/Jeep from 1954 to 1988.
Ownership of an AMC or related vehicle is not a requirement of membership.
Membership forms and dues can be mailed to above address, or bring to a meeting. Meetings are held every Third Sunday of the month at 3:00 p.m. at Thunder Bay Grill, Rockford, Il.
