MEMBERSHIP



APPLICATION FORM


Application Status : New Renewal

ORDINARY MEMBERSHIP

*Name of applicant (as in NRIC):
Dr Mr Mrs Ms

*Name to Be Printed on Card (max. 20 characters):

*NRIC/FIN:

Driving Licence No.:

*Home Address:
Block/House No.: Unit No.: #
Street Name:
Building Name:
Postal Code:

*Email Address:

*Tel: (HP/PG) (O) (H)

Occupation:

Gender: Male Female

Marital Status:

*Date of Birth (DD/MM/YYYY):

Nationality/Race:

Housing Type:

Personal Income per Annum:

Driving Licence Class:
 2B 2A 2 3 3A 4 4A 5

*Vehicle Make:

*Engine Capacity:

*Mandatory fields

For Member-Get-Member Programme:

Name of introducer (as in NRIC/FIN):
 Dr Mr Mrs Ms

NRIC/FIN No. of introducer:

Email Address:

The Introducer must be an existing AA member. By completing the information at above, you have agreed to be recommended by your Introducer who may qualify for AA Member-Get-Member Programme, subject to the prevailing Terms and Conditions of the programme.

FAMILY MEMBERSHIP

*Name of applicant (as in NRIC/FIN):
 Dr Mr Mrs Ms

*Name to Be Printed on Card (max. 20 characters):

*NRIC/FIN:

Driving Licence No.:

*Email Address:

Tel: (HP/PG) (O) (H)

*Date of Birth (DD/MM/YYYY):

Relationship to Ordinary Member:

Occupation:

Gender: Male Female

Driving Licence Class:
 2B 2A 2 3 3A 4 4A 5

Vehicle Make:

Engine Capacity:

MEMBERSHIP OPTIONS (All fees inclusive of 7% GST)
Please select accordingly
Category Membership Term Entrance Fee Membership Fee Total
Ordinary
1-year new
$32.10
$58.85
$90.95
3-year new
$32.10
$160.50
$192.60
5-year new
$32.10
$267.50
$299.60
1-year renewal
-
$58.85
$58.85
3-year renewal
$160.50
$160.50
5-year renewal
$267.50
$267.50
Family
1-year new
-
$32.10
$32.10
3-year new
$86.65
$86.65
5-year new
$144.45
$144.45
1-year renewal
-
$32.10
$32.10
3-year renewal
$86.65
$86.65
5-year renewal
$144.45
$144.45


Enclosed is my cheque for the sum of S$

Bank / Cheque No.
(Please make cheque payable to AAS)

Please charge the sum S$ to my credit card

Amex Visa Mastercard Diners

Credit Card No.:

Expiry Date:

Note: A copy of your credit card slip will be mailed to your mailing address in our records.

Please send in a recent colour passport-size photograph to: 336 River Valley Road #03-00 AA Centre Singapore 238366. Attention: Membership Department. (Please write your name and NRIC No. on the back of your photo).

Alternatively, you may also email your digital photograph to us in JPEG (.jpg or .jpeg) or GIF (.gif) format to mem-photo@aas.com.sg, indicating in the subject title " Photograph - (pls state your Full Name, NRIC or Fin #)".

DECLARATION
I hereby apply to enrol as a member of Automobile Association of Singapore and agree, if elected, to be bound by the rules and regulations of the Association.

Note:

  • Applicants must either own a car or possess a valid driving licence.
  • Membership is personal, non-transferable and non-refundable.
  • Member must be present at the breakdown location to receive service.
  • Roadside Assistance Service (RAS) is available to S'pore registered, petrol-driven passenger cars only. (Not applicable to taxis, motorcycles and commercial vehicles including Light Goods Vehicles).
  • Family Membership is open to spouse or child (under 21 yrs) of an Ordinary or Life Member, holding a valid driving licence and residing at member's address. Family Membership runs concurrently with the membership validity of the Ordinary Member.
  • Kindly allow 7 to 10 working days for your application to be processed upon receipt of your photograph(s).
  • Please enclose a colour photograph with your application.
  • Membership fees are subject to change without prior notice.

Please do not submit twice.