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EAA Chapter 146
Membership Application / Renewal [Please print and mail to address at bottom]
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Date:
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Annual Dues -
$15.00
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Member# _________
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Personal
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Last Name:
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First Name:
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Spouse:
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Street:
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City:
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State:
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Zip:
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EAA Number:
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Telephone (Home):
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Telephone (Work):
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e-mail Address:
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Flight
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Pilot
Ratings:
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Student
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Commercial
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Multi-Engine
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Rotary
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Private
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Instrument
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Glider
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Other
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Total Flight Time:
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Interesting / Unique Aircraft Flown:
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Service Ratings:
CFI
CFII
A & P
IA
Other
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Aircraft
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Aircraft Presently Owned:
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Aircraft Previously Owned:
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Current Homebuilt:
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% Completed:
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Completion Date
?
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Future Projects (or interests):
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Previous Project(s) Completed & Date:
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Additional Information
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Place of Employment, School, Occupation or Vocation:
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Military Experience (Principal):
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Mentionable Skills or Knowledge:
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Comments:
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Chapter 146 Information
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President:
Eric Beebe
Treasurer: Robert Meyer
Email:
staff@eaa146.org
Meetings:
7:30 PM on the third Monday of the Month (usually) at Kline Kill
Airport, Ghent, NY ( NY1)
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Please make checks payable to:
EAA Chapter 146
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Send Application and dues to:
c/o Robert Meyer
174 High Mount Road
West Coxsackie, NY
12192
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