EAA Chapter 648 Application

EAA Chapter 648

Membership Application

Print this page with your browser (set margins to .75" or smaller, portrait orientation), fill it out, and mail it in with your dues or return to any EAA Chapter 648 board member.

Note: Chapter 648 membership does not include membership in National EAA. Dues for National EAA are $40/year for individuals, $50/year for families which includes 12 months of Sport Aviation. For more info, visit the National EAA Web Site at http://www.eaa.org/

Name:

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EAA#

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Address1:

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Spouse's Name:

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Address2:

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City:

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State:

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Zip:

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E-mail:

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Home Phone:

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Work Phone:

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I would like to receive the chapter newsletter (check one) Online_______ or Mail_______

Aircraft Owned:_______________________________________________________

Aircraft Projects:______________________________________________________

Occupation:__________________________________________________________

How did you find out about Chapter 648?:_____________________________________

Additional comments may be written on the back.

Dues are $20 per year ($25.00 for family plans and $15.00 for students), payable in January. Please make check payable to: "EAA Chapter 648"
Please return this form with your dues payment to any EAA Chapter 648 Officer or snail-mail to:
EAA Chapter 648
c/o Earl Bolton, Treasurer
7448 Crannell Dr.
Boulder CO 80303

Name:	^{_______________________________}	EAA#	^{________________}
Address1:	^{_______________________________}	Spouse's Name:	^{________________}
Address2:	^{_______________________________}
City:	^{_______________________________}
State:	^{_______________________________}
Zip:	^{_______________________________}
E-mail:	^{_______________________________}
Home Phone:	^{_______________________________}
Work Phone:	^{_______________________________}