EXPERIMENTAL AIRCRAFT ASSOCIATION OF HAMILTON
First Name
Street & No.
Last Name
Apt.
City/Town
Postal Code
Phone Home
EAA Oshkosh Membership No.
Year Joined
Do You Own an Aircraft? Yes
Are you building an aircraft? Yes
Business
Cell
Expiry Date
No
Type and/or model
Annual dues $50.00 Optional donation
= Total
If accepted as a member of EAA Hamilton Chapter 65, I will abide by all chapter rules and guidelines.
Applicant’s Signature____________________________
Date
Month
Year
Red portion for internal use only
Date Approved________________________
President_____________________________
Membership Director___________________
Date Member Notified__________________
Notified by__________________________
