1) My AAA experience all started when . . .
2) Member Number:
3) How long have you been a AAA member?
4) First and Last Name:
5) What is your age? (optional)
6) Address:
7) City:
8) State:
9) Zip Code:
10) E-mail Address:
11) Phone Number:
12) I declare that I am 18 years or older and the above information is mine and true to the best of my knowledge.
13) I give AAA permission to contact me for more information if my story is selected for use in promotional materials. I grant AAA Carolinas permission to use this testimonial in any promotional materials as they see fit for any length of time.