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| About Aero Club | Membership ApplicationMembership year May 1 through April 30
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| Name | ______________________________ |
| Title | ______________________________ |
| Company | ______________________________ |
| Address | ______________________________ |
| City | ______________________________ |
| State | ______________________________ |
| Zip | ______________________________ |
| Phone | ______________________________ |
| Fax | ______________________________ |
| E-mail Address | ______________________________ |
| Organization Web Site | ______________________________ |
| Aero Club Sponsor | ______________________________ |
Please register my membership for:
1 year ($55)
2 yrs ($110)
3 yrs ($165)
(Paying 2 or more years ahead protects you from any dues increase)
Please add my tax-deductible contribution of to the Aero Club to help support the Aero Club Foundation’s aviation education initiatives.
Enclosed is my check for $ _____________________.
Please bill my credit card: VISA or MasterCard only
| Card# | ______________________________ |
| Exp. Date | ______________________________ |
| Signature | ______________________________ |
Any questions, please call Nancy Hackett at (703) 327-7082 or email: nancy@aeroclub.org
Fax or Mail form only
Please fill in this form, print it and then fax or mail it to:
Aero Club of Washington
Post Office Box 17295
Dulles International Airport
Washington , DC 20041
E-mail info@aeroclub.org
voice: 703-327-7082
Fax: 703-327-9412
| Aero Club of Washington |