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Primary Member

First Name *

Last Name *

Date of Birth (MM/DD/YYYY) *

Email Address *

Cell Phone Number

Home Phone Number

* Phone Numbers (at least one is required)

Address

Street Name & Number *

Apt / Suite / Etc

City *

Zip Code *

State *

Additional Members (optional)

First Name *

Last Name *

Email Address *

Date of Birth (MM/DD/YYYY) *

[+] Add Another Member

Associate Members must reside in the same household as the Primary Member and be a spouse, significant other, or child 16 to 22 years old.

Same Day Service: If roadside assistance is requested at the time of enrollment, Same Day Service will be provided, but is limited to Basic membership level services for the pre-existing breakdown. AAA Hudson Valley reserves the right to deny Same Day Service during times of extreme demand such as inclement weather conditions. We reserve the right to apply new membership payments to all outstanding surcharges on pre-existing membership accounts. Dues for Primary membership include $2 for a non-discountable annual subscription to Via magazine NOTE: All benefits are subject to AAA terms and conditions. Have questions or concerns? Contact us (24/7) at (518) 426-1000.

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Questions? Call (518) 426-1000