EAA Tulsa Chapter 10 Membership Application
and
Renewal Form

Print out this form and fill in your data 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.

If you are unsure if you've paid your dues yet, check with the chapter treasurer, John Nys.

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

EAA Chapter 10 Treasurer
PO BOX 1985
OWASSO OK 74055-1985