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www.EAA1111.com
EAA Chapter 1111 Membership Application
Mettings: 1st Thursday of every month
2215 B Parrott Way, Kelso, WA (Kelso Airport KLS)
Send membership application to
our clubhouse:
EAA Chapter 1111
2215B Parrott Way
Kelso, WA 98626
For renewals, indicate changed
information only. Dues are $50 per year, pro-rated
quarterly, payable to "EAA Chapter 1111"
There is an additional $50 initiation fee for new members only.
| Name: | Spouse Name (opt): | ||
| Address: | |||
| City: | State: | Zip: | |
| Home Phone: | Work Phone: | Cell Phone: | |
| email: | |||
| New Member | Renewal | National EAA #: | Omit name from membership directory |
| Renewing multiple years? | How many? | Current Pilot? | |
| Type of aircraft desired to build or buy: | |||
| Currently own? | Describe: | ||
| Currently rent? | Describe: | ||
| Current project: | |||
| Completed projects: | |||
| Comments | |||
