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Roadside Assistance Reimbursement Request

Roadside Assistance Reimbursement Request Club Reimbursement Policy: Members must call AAA first. Member reimbursements are consistent with AAA contract rates and generally not equal to private garage charges. Reimbursements may be disallowed during extreme weather conditions. A delay in AAA service is not a reimbursable event. Was the member in the vehicle at the time of breakdown? Membership Number: Yes No 429-080-_____ Member s Name: Cell Phone #_____ Alternate #:_____ Mailing Address: Email Address: _____Vehicle Driver: Vehicle Type: Passenger Van Truck Motorcycle RV Service Date: Year/Make/Model: Time: am pm Location of Breakdown: (Street, City and State) Location Vehicle Towed to: (Street, City, State) Name of Service Facility: Towing Mileage: _____ Total Charges: $_____ Reason for Breakdown: Was AAA called?

Roadside Assistance Reimbursement Request Club Reimbursement Policy: Members must call AAA first.Member reimbursements are consistent with AAA contract rates and generally not equal to private garage charges.

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  Reimbursement, Request, Assistance, Roadside, Roadside assistance reimbursement request

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