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EAA Chapter 541 - Sowela Barnstormers, Inc.

MEMBERSHIP FORM

Last Name: ___________________First Name:_____________

 

If married, Wife's Name:____________  

 

If any, Children's Names:_________________________________

 

Street Address:________________________________________

 

City:______________________  State:_______ Zip: _____-____

                  

Home Phone: __________  Work Phone:__________________

 

Email Address:_______________________________________

(For mail-outs to you and members ONLY!

Not shared with anyone else!)

 

EAA Number: __________________________Expires: _______

(Not a requirement to be a Chapter 541 member, but advisable.

  Must be a National member to be an Officer or Board Member or to participate as a pilot in the Young Eagles program.)

 

If you own an aircraft, which type?: ______________________

 

N Number:________________

 

Building an aircraft, which type?:________________________

 

Give us a little background on you and your family. 

What aircraft, projects, or aviation interests do you have?

 

____________________________________________________

 

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____________________________________________________

 

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Print out the form, fill out the info, and mail it with your $15 dues to:
LENORA KRIELOW, 129 GATEWAY DR, LAFAYETTE, LA 70506 or
SCOTT PIAS, 1010 HOLLY ST., LAKE CHARLES, LA 70601