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EAA Calendar of Events

Southern Nevada EAA Chapter 1300
P. O. Box 570561, Topaz Station
Las Vegas, NV 89157-0561
           
Date:________________ EAA Membership No.________________
Name:______________________________________________________________
Family Member's Name:________________________________________________
Address:____________________________________________________________
City:_________________ State:________________ Zip:_________________
Phone:___________________________ Cell:_____________________________
Email:______________________________________________________________
           
Aviation Interest(s):
[___] Experimental [___] Ultralights [___] Formation Flying
[___] Restoration [___] Pwrd Parachutes [___] Air Racing
[___] Antiques [___] Fly-ins [___] Sky Diving
[___] Air Shows [___] Classics [___] Hang Gliding
[___] Aerobatics [___] Warbirds [___] Sailplanes
[___] Young Eagles [___] Light Sport [___] Fly-outs
[___] Other:__________________________________________________________
           
Membership Type:
[___] Individual: $18.00 (After June 30th - $9.00) [___] Life: $450.00
[___] Family: $24.00 (After June 30th - $12.00) [___] Family Life:$500.00
[___] Name Badge - $9.50 (Name on Badge):_______________________________
[___] Family Member $9.50 (Name on Badge):______________________________
Cash:_______________ Check:______________ Check No.____________
           
Aircraft Owned: ___________________ Building:__________________________
Interested in Building:__________________________________________________
           
I would be interested in serving as a [___] Chapter Officer or [___] Director:
           
I would be interested in serving on the following committee(s):
[___] Builder's Support: [___] Budget & Finance: [___] Flying Activities:
[___] Membership: [___] Young Eagles: [___] Programs:
[___] Social: [___] Welcome: [___] Nomination:
[___] Safety: [___] Scholarship: [___] Other:
           
I / We agree to uphold the bylaws of Southern Nevada EAA Chapter 1300
and to promote Sport Aviation and Flight Safety in the Las Vegas area.
           
Signed:_____________________________________________________________
           
Signed:_____________________________________________________________

Last Updated: 2/5/2008 7:51:44 PM Contact: Webmaster