Membership / Renewal Application Credit Card Form

 

Riviera Owners Association, P.O. Box 261218, Denver, CO 80226-9218
303-233-2987, 303-984-0909 fax email: office@rivowners.org
The ROA is a non-profit membership corporation dedicated to the 1963-1999 Riviera by Buick

Fields marked with an * are mandatory.

 
 
Member's Name *
 
New Member? Received reminder card?
 
ROA Number (only if renewing)
 
Address *
 
Address 2
 
City *
 
State *
 
Zip *
  Phone *
 
Email *
 
Tell us about your car(s) - year, model (GS, etc.), mileage, color (interior/exterior)
 
Benefits of Membership
 • Membership card, decal and club cards
 • Six bimonthly issues of the Riview, our 36-page color magazine
   with Technical Tips, Members Showcases Classifieds and more.
 • Free 45-word advertisement per member, per issue.
 • Access to the “Members Only” section of our website.
 • Access to past issues of the Riview, posted on our website.
 • Access to technical advice, and our extensive library.
 • Participation in international and local events.
 • International Air Mail included.

Multi-year Renewals

U.S. 1 Year:   $35.00
2 Years: $65.00
3 Years: $95.00
     

Foreign

1 Year:   $40.00
2 Years: $75.00
3 Years: $110.00
 

Annual Dues

$35 in the U.S., $40 Foreign. To pay by credit card, please fill out the following form. Signature is only required if you are printing the form and mailing.
     
    Paypal logo
 
Credit Card Number
 
Expiration Date
 
Card Holder
 
Signature
 
Total amount to be charged
 

If you wish to mail your credit card information, do not hit submit. CLICK HERE to print the completed form out and mail to the following address :
ROA
P.O. Box 261218
Denver, CO 80226-9218

Please note: This form is for new subscriptions and membership renewals. If you are moving and wish to update your membership Information, email us at: office@rivowners.org

       
    Please hit the submit button only once.

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Notice: BUICK and RIVIERA are trademarks of GENERAL MOTORS CORPORATION used with permission. The Riviera Owners Association is independent and not affiliated with GENERAL MOTORS CORPORATION or its BUICK MOTORS DIVISION    —Copyright 2007 Riviera Owners Association—