Member’s Name:
Mailing Address/City/State/Zip:
Membership Number:
I am requesting Verification of Service for the following date(s):
Reason for Verification:
Member’s Signature
Day time phone number:
Return FAX number or E-Mail Address:
Comments:
Please return your request form to:
Address
AAA Club Services LLC
ERS A-321
PO Box 25001 Santa
Ana, CA 92799
VERIFICATION OF SERVICE REQUEST FORM
Email
ERSAdministration@aaa-calif.com
Fax
714-885-1924
Please allow 3-5 business days for processing.
Questions
714-885-1986
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