EAA CHAPTER 268 MEMBERSHIP APPLICATION

Membership for the Year 2008

Chapter membership dues are $25.00 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 or send it to the Chapter secretary:

Rafael Garcia c/o

Mike Casey

125 Plantation Trace

Woodstock, GA 30188

Member Information

Name:                                                       

EAA#: __________________________        Expires: ______________

Spouse’s name:                             

E-Mail Address:                                              

Mailing Address:                                                

Cell phone:       (          ) ________________________                 

Home phone:   (          ) ________________________

Work phone:    (          ) ________________________

Licenses / Ratings:                                                           

Project aircraft:                                                    

Aircraft owned:                                                    

I can help with: