Special Offer for UAB employees

Primary Member
Title:
First Name:
MI:
Last Name:
Suffix:
Billing Address Line 1:
 
Billing Address Line 2:(optional)
City:
State/Province:
Zip/Postal Code:

Credit Card Type: Card Number: Exp. Month:   Exp. Year:
  
Please select a credit card for your purchase. All credit card information will be encrypted and secure.
Automatic Renewal Benefit:
Get 2 months FREE for your first year of membership if you authorize Automatic Renewal Billing. By indiciating 'YES' to Automatic Renewal Benefit, you authorize us to automatically charge your annual renewal dues to your credit card each year at renewal time. You can cancel this arrangement at any time by contacting us. Prior to each renewal period, you will receive a statement of your current services to review for accuracy and to add or delete services if desired.

If your VISA, MasterCard, or Discover credit/debit card issuing bank participates in the Card Account Updater program, unless you Opt Out of the service with your issuing bank, we may receive the updated credit/debit card account number and/or expiration date for the card information you have previously provided us. We will update our files and use the new information when we bill for your annual membership dues. We won’t receive updated information if your account has been closed.
Home Phone: (Include area code)
Business Phone: (Include area code)
E-Mail Address:
Date of Birth:
Month
Day
Year (Use 4 digit year)
Gender:
Membership Type & First Year Dues
To view your AAA Plus membership benefits, Click Here.
Offer Number

Associate Members
Your membership may include one adult living with you and dependent children under the age of 24 as Associate members for less than the cost of a full price individual membership. Associate Members receive the same full benefits as you!

Select the number of Associate memberships you require:







To speak with a membership enrollment representative, please call Temperance Smiley at 1-800-521-8124, Ext. 444-8856.

Please allow 1 business day for processing before your AAA Membership benefits are effective. Your AAA Plus Roadside Assistance benefits will become effective 7 days following the processing of your membership application and payment. During the 7 day waiting period, you will be covered at the AAA Classic level. Some conditions and restrictions apply. Each member is entitled to four (4) roadside assistance service calls at no charge each membership year. See the Member Guide for details. Membership dues, fees, benefits and services are subject to change without notice.