MEMBERSHIP APPLICATION

Chapter membership dues are $20.00 per year for the period January through December.  Dues for new members will be prorated to the nearest quarter remaining in the year. Membership in national EAA is required. Bring your application and payment to a chapter meeting.

Member Information

Name:                                                                           

EAA#: __________________________         Expires: _________________________

Spouse’s name:                                               

Mailing Address:                                                                        

                                                                                    _               

E-Mail Address:                                                                      

Home phone:    (        )                                                       

Work phone:    (        ) ________________________

Cell phone:       (        ) ________________________

Project:                                                                                   

Aircraft:                                                                                   

Volunteer for: