2018 MASA EAA Registration Form - Requests after July 15 may not be fulfilled.
Email address must be for point entry person. You will receive a confirmation copy in your Email.
Email address *
SUBMITTER CODE (lower case only , typo may result in deletion of registration) Code available from your organization "Key person" *
Your answer
Organization or Designation (E-mail koszewa@aol.com for corrections) *
Primary Registrant: First Name *
First Name
Your answer
Primary Registrant: Last Name *
Last Name
Your answer
Primary Registrant: Email address *
Email address
Your answer
EAA Membership number, or enter "Skip" *
Your answer
Job Title or Description in your organization *
Your answer
Registrant Gender *
Registrant Age (insert a number) *
Your answer
Registrant Phone: (ex: 950-555-1234 or "NONE)" *
Your answer
Registrant Street Address *
Your answer
Registrant City *
Your answer
Registrant State Example "WI" *
Your answer
Registrant Zip *
Your answer
Arrival Date *
Estimated Arrival Time or enter "Skip" *
Your answer
Arrival Mode *
Arrival Location - City and Address (If you require transportation) Or enter "Skip" *
Your answer
If Arrival by Commercial Air (flight # & time) or Enter "Skip" *
Your answer
Arrival Transportation If Needed *
Departure Date *
Estimated Departure Time/Flight # or Enter "Skip" *
Your answer
Departure Location or Enter "Skip" *
Your answer
Departure Transportation If Needed *
Require Housing *
Special Needs / Allergies or Enter "Skip"
Your answer
If Housing Requested select best choice
Family member #1 with you (Relationship, Name, Age, "M/F" or "Skip" Example: Wife, 35, Debbie, F *
Your answer
Family member #2 with you (Relationship, Name, Age, "M/F" or "Skip" Example: Wife, 35, Debbie, F *
Your answer
Family member #3 with you (Relationship, Name, Age, "M/F" or "Skip" Example: Wife, 35, Debbie, F *
Your answer
Family member #4 with you (Relationship, Name, Age, "M/F" or "Skip" Example: Wife, 35, Debbie, F *
Your answer
Family member #5 with you (Relationship, Name, Age, "M/F" or "Skip" Example: Wife, 35, Debbie, F *
Your answer
I and my adult family members are willing to share our personal testimony. *
Vehicle Request *
Type Vehicle Requirement *
MASA Responsibility at "Oshkosh" *
Volunteer Responsibility at "Oshkosh" *
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