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To begin, please fill out the fields in the form below. Once submitted, you will begin receiving your AmeriClub Journal electronically.

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Resident within a 100-mile radius of Dubuque, Dyersville, or West Des Moines, Iowa only please.

Personal Information:

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  • Home Phone

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  • OK Email is required

Address Information:

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  • Optional OK City is required
  • Optional OK State is required
  • Optional OK Zip is required
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