EAA CHAPTER 157 MEMBERSHIP APPLICATION & RENEWAL
FORM
Membership is $20 per year
Date________________
New Member_______ Renewal_____
Primary Member:
Name__________________________ National EAA
member?____Member #________
Address_____________________________________
Phone ___________________
City ___________________________
State____________Zip_________________
E-mail________________________________________________________________
Birthday
(m/d)________________________________________
Spouse's Name ________________________
Anniversary?___________________
Make checks payable to EAA Chapter 157 and
mail with application to:
EAA Chapter 157
2600 Gold Street, Suite 7
Redding, CA. 96001
( )
Membership $20 per year
All renewals due in January. Delinquent
February 1st.
AMOUNT ENCLOSED $___________
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Officer Use Only
Amount Received____________Check____Cash_____
Signed_______________________________________