EAA Chapter 1300

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Southern Nevada EAA Chapter 1300

3500 Executive Terminal Drive

Suite 285

Henderson, NV 89052

Date:

EAA Membership #:

Name:

Family Member's Name:

Address:

City:

State:

Zip:

Phone:

Cell:

Email:

Family Member's Email:

New Member Registration

Membership Renewal

Aviation Interests:

Experimental

Ultralights

Formation Flying

Restoration

Powered Parachutes

Air Racing

Antiques

Fly-Ins

Sky Diving

Air Shows

Classics

Hang Gliding

Aerobatics

Warbirds

Sailplanes

Young Eagles

Light Sport

Fly-Outs

Other:

Aircraft:

Own:

Fly:

Building:

Interested In:

I / We would be interested in serving:

as a Chapter Officer

on the Board of Directors

I / We would be interested in serving on the following committees:

Budget & Finance

Builder's Support

Nomination

Safety

Scholarships

Social

Welcome

Young Eagles

Other:

Membership Type:

Full Year ($20.00)

Life ($500.00)

None ($0.00)

Name Badge ($10.00)

Family Member ($10.00)

I / We agree to uphold the bylaws of Southern Nevada EAA Chapter 1300 and to promote Sport Aviation and Flight Safety in the greater Las Vegas area.

Signed:

Date:

Signed:

Date:

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