EAA Tulsa Chapter 10 Membership Application
and
Renewal Form

You can use this form to

Name  
Address  
City  
State  
ZIP Code  
E-Mail Address  
Home phone #  
Work phone #  
Co-pilot/spouse  
National Membership #  
Aircraft owned
(make/model) 		 
Projects in progress
(% complete) 		 
Today’s date  
Membership dues
(if new or renewing) 		 $20
Appliction Type
(Select one) 		New
Renewal
Updating information

For renewing members, we ask that you use this form even if you intend to pay at the meeting. This makes keeping track of payments and other information dramatically easier and more accurate.

Bring this form and payment to next regular meeting or mail it to:

Jeff Wedman
EAA Chapter 10 Treasurer
7435 N 145th E AVE
Owasso, OK 74055-7034
(918) 272-8566