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Experimental
Aircraft Association National
Capital Chapter 186 Membership Application and Information
Form Web Page: www.eaa186.org
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A Non-Profit Organization Dedicated
to the Advancement of Aviation Education, Homebuilt Aircraft, and Private
Aviation |
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The general meetings of
Chapter 186 are usually held the last Saturday of each month at 10:00 AM. The chapter business meeting is usually held
the first Wednesday of each month at
PLEASE PRINT ALL
INFORMATION
PERSONAL INFORMATION:
Last Name:
_________________________________First Name: _________________________Middle
Initial:_____________
Preferred Name to
Be Called By: _________________Spouse’s Name: ______________Birth: mo. &
day________________
Street Address:
________________________________________________________________________________________
City:
______________________________________
State: ____ Zip Code:
_____________________
Home Telephone:
________- ________ - _________ E-mail:
____________________________________________________
Willing to
volunteer? Workshops____Fly-in____
Officer____Photography____Tech. Counselor____Social Comm. ____Newsletter____
PLEASE NOTE:
The Experimental Aircraft
Association in
Your National EAA
Number: __________________ Expiration
Date: ________
_________________________________________________________________________________________________
TYPE AIRCRAFT:
Currently
Own: ______________________________ Based
at what airport? _________________________________
A/C
Under Construction: ________________________________
A/C
Project Completed: _________________________
Specific
Skills You Possess: _____________________________________Can you give a
workshop on your skill?________
RATINGS (Check all that
apply):
Student
___ Private ___ Multi-engine ___ Comm ___ Sea ___ ATP ___ Glider ___ Instrument
___ Rotary ___ CFI ___ A&P ___
EMPLOYMENT/OCCUPATIONAL
INFORMATION: (Optional)
Employer:
________________________________________________________________
Occupation/Job
Title: _______________________________________________________ Work Phone:
_____ - _____ - _______
Do you want your newsletter sent to you by E-mail:______ U. S. Mail_______
How did you find out about us? ___Chapter House ____ Friend ____ EAA
HQ _____ Fly-in _____Other
The calendar year for Chapter 186 is Jan-Dec. with
single member dues prorated at $5.00 per quarter and family membership prorated
at $6.00 per quarter. Please include the
one-time initiation fee of $8, which covers the cost of the chapter nametag,
membership directory & handbook.
Mail application, name tag order form, and check (payable to EAA Chapter
186) to Membership Chairman, Judy Sparks,
Date Submitted:___________________ Badge Ordered:________________ Received:
____________________