Club Enrollment Form

Before we get started, were you given an affiliate or promotional code by a distributor or friend? If so, enter it here and PRESS THE PROMO button below to reload the page. You MUST press the PROMO button in order for your code to work:

 

If you'd prefer to sign up over the phone or experience any trouble with the join form, just give us a call! Our customer support number is 1-866-238-1137. We're open Monday through Friday 8:30am to 5:30pm PST and are here to answer any questions you may have.

To sign up online...
1. Apply discounts or special savings (only one discount or promotion will be applied per enrollment and this step must be completed first).
2. Fill out your member information.
3. Choose a membership program (click on an image or use the check box below it).
4. Add your spouse/partner or dependent children (if applicable).

 Is this a gift?  
STEP 1/5: Member Information
First Name*
Last Name*
Email *
An email address is required in order to receive a confirmation. It is also necessary to receive our eNewsletter and to enroll in our paperless renewal program.
Mailing Address*
Mailing Address (continued)
City*
State*
Zip Code*  - 
Mailing address is required to receive paper fulfillment or maps/trip routings via postal mail.
Primary Phone*   )   - 
Secondary Phone  )   - 
Heard About Us From?
Current Auto Club
Additional Household Members
First Name Last Name
Optional Demographic Information
Education Level
Household Income Level
Gender
Age


STEP 2/5: Choose Service Options
If you'd like to schedule your membership to start at some point in the future (perhaps at the end of your current auto club membership) enter that date below.
Start Date: (Please Note: We cannot activate your membership until three business days after today.)
 /   / 

Select a program. Select Premium for towing coverage up to 100 miles. Select Basic for coverage up to 5 miles. Bicycle includes 30 miles of transportation for you and your bicycle, even if it's added to an Auto membership.


Membership Program Descriptions and Rates
Auto Service

RV Service


Motorcycle Service

Bicycle Service




STEP 3/5: Additional Discounts and Surcharges
Already Doing Your Part? You Deserve To Save! You may qualify for incentive savings for joining the club!
Trade Up From AAA

Enter your 16-digit AAA Member ID in the box below to have our $ 12 signup fee waived.


Find your AAA Member ID on your AAA card. Your name must match the name on your AAA Card. Our prices are lower than AAA's in most regions. However, if our price exceeds AAA's in your local area for an equivalent membership program, give us a call. Price matching applies to new membership only. Signup fee waiver applies only when your current auto club charges a signup fee. Signup fee is non-refundable. The signup fee waiver will not be applied in conjunction with other promotions or discounts.
Own A Hybrid, BioDiesel* or Electric Vehicle?

If you own a hybrid, biodiesel,* or electric vehicle, we'd like to reward you with a discount on your 1st Year's Membership! Please enter your vehicle information in the fields below. Hybrid, biodiesel,* and electric drivers will receive 10% off their 1st Year's Membership Fees!

Vehicle Type
Year
Make
Model
VIN
I pledge to only use biodiesel or vegetable oil as fuel for my vehicle (unless biodiesel/veg oil is not available. In this case, I pledge to push my car.) If asked, I will send Better World Club 4 weeks of biodiesel receipts or equivalant documentation.
You can usually find your VIN (Vehicle Identification Number) on the left side of your dash. Your VIN is a code that identifies the special features of your vehicle, and is typically 16 or 17 uppercase letters and numbers.
*Only vehicles manufactured after 1999 are eligible for the biodiesel discount.


Instructions

Fill in each blank. Items noted with an asterisk (*) are required.

After you've filled in the fields to your satisfaction, press the SEND button.

Be patient, your submission should take less than 30 seconds to process. But pressing SEND repeatedly could cause duplication of your form.

Find out how we protect your privacy.

More questions? Try our FAQ.