EAA Chapter 34 Membership Form

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You are required to submit this form whether a new or returning menber.

Name *

Are you a new or returning member? *

New

Returning

Check Desired Membership Type

Individual $35

Family $40

Bundled $70 (Includes family membership and tool access)

Youth: $15 (17 yrs old and under)

3 Year Individual $99.95

3 Year Family $119.95

3 Year Bundled/ Tools Membership $199.95

Other:

Select Payment Method

Cash (Bring a copy of this form and your cash to our next event)

Check (Bring a copy of this form and your check to our next event, or mail to this address: EAA Chapter 34, Inc, PO Box 181675, Arlington, TX 76096

Credit/PayPal (If paying by this method complete and submit this form then click one of the payment button located on this page below this form)

Other:

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Email *

Mailing Address (Street, City, Zip) *

Primary Phone Number *

EAA National Number if applicable

List all FAA certificate(s) you hold.

Tell us more about yourself; i.e., aviation interests, what you expect from an EAA 34 membership, Etc

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