EAA - Chapter 182

Dewitt Spain Airport

Memphis, TN

 

 

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Want To Become a Member of EAA Chapter 182 in Memphis, TN?

Print out this page and fill in the requested information. Give this form and your annual dues to Frank Civera at the next meeting (click on chapter events on the previous page to find out when and where) or send an e-mail to frank@bits-pos.com for a mailing address. You will become a member of the Memphis Chapter (not the International Organization) when the annual dues of $25 (individual) or $35 (family members living in the same household) is received.

EAA Chapter 182

Membership, Renewal and Information Update Form

Date                                                            

Single ($25.00                         

Name                                                           

Family ($35.00)                      

Address                                                                                     

City                                                                      State                     Zip                    

Phone                                         e-mail Address  _________________________

EAA Number                                                 * Needed for valid chapter membership

 

What is your interest in aviation?  (Check all that apply)

Homebuilding           ˇ

Vintage                         ˇ

Ultralights                 ˇ

Racing                           ˇ

Factory Builts           ˇ

Flying Professionally ˇ

Aerobatics                  ˇ

Grass Roots Aviation ˇ

Warbirds                    ˇ

Other                                                             

 

 

Tell us about your aviation background                                                                                                  

                                                                                                                                                      

 

Aircraft Owner?  What Type?                                                                                                                  

Building/Restorint Aircraft?                                                                                                                    

 

Pilots licenses, ratings and experience                                                                                                  

                                                                                                                                                                  

 

Chapter 182 runs on your energy and creativity.  What areas of interest or projects are you interested in working on?                                                                                                                         

                                                                                                                                                                       

                                                                                                                                                                       

Things we’re doing right/things we could do better                                                                            

                                                                                                                                                                       

                                                                                                                                                                       

 

Make checks payable to EAA Chapter 182.

 

 

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