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Membership Application - Long Island Antique Power Association

Membership Application

You can also download the form and mail with a check for $40* to
L I Antique Power Association
P.O. Box 1134
Riverhead, N.Y. 11901

DOWNLOAD FORM HERE
*Membership dues are tax deductible

On-Line Application

Fields marked with a * are required. You will be directed to a payment page.  You may still pay via check after completing this form.

Select One*

2 + 6 =

The annual dues are $40.00 (a $5 convenience fee is added when paying on-line)*
The membership includes a spouse and children under the age of 18 years.
The membership year runs from January 1st to December 31st.
Address all correspondence concerning memberships and or dues to:

L. I. Antique Power Association
P.O. Box 1134
Riverhead, N.Y. 11901

*membership not active until payment is processed.