
PLEASE
PRINT AND COMPLETE FULLY AND MAIL TO:
Palmetto
Sport Aviation Association, Inc.
EAA
Chapter 242
1400
Jim Hamilton Blvd., Hangar 69
Columbia,
SC 29205-4458
Name_____________________________________________________________ DOB______________
Spouse____________________________________________________________ DOB ______________
Street________________________________________________________________________________
City/State/Zip_________________________________________________________________________________
Phone (H) ___________________(W)
__________________ (C) __________________ (Fax) ___________________
Spouse (W) _________________ National EAA
Number: __________________ Expiration Date: _________________
Employed by:_________________________________________________________________________________
Certificate
Type/Ratings: r Student r PVT
r COM r
INST r Other___________________________________
Currently
Flyable Aircraft Owned: Manuf:___________________ Model__________________ N#____________
Aircraft
Project Under Construction:_______________________ Model__________________ N#____________
If
you want to receive e-mail from the chapter (news, meeting reminders,
newsletters, etc.):
E-mail:
(H)____________________________________________________________________________________
E-mail:
(W)___________________________________________________________________________________
E-mail:
(Spouse)_______________________________________________________________________________
Newsletters
are sent via e-mail , check if hardcopy is required r
Committee
participation: There
is no better way to get to know other chapter members than to serve on a
committee. No experience is necessary, come on out and join the fun! Please
indicate any committee you may be interested in serving on: r Food
Service r Newsletter r Program r Young Eagles r
Membership r
Sport Aviation Center (SAC) Operations r
Computer r Library
If
you are a builder, you may need to use the chapter workshop at Owens Field.
There is an extra charge for this which covers the cost of some basic supplies
and a key to the workshop. The initial
fee is $20 year, $10 year thereafter.
Chapter
Dues: $30/year r NEW
MEMBER r RENEWAL
Workshop Dues: $10.00/year r
Amount
Enclosed: _______________(Please make checks payable to Palmetto Sport Aviation
Assn.)
Chapter
dues do not include your national membership dues. Visit the EAA website at www.eaa.org and join there, or you can call the
toll-free number for EAA at 1-800-JOIN EAA (1-800-564-6322). Their hours are 8
a.m. - 7 p.m. (Central time) on Mondays, and 8 a.m. - 6 p.m. on Tuesdays -
Fridays.
I was
recruited by:__________________________________________________________
Club
Use Only: r
Treasurer r
Secretary r
Newsletter r
Workshop key r Mentor_________________________
Note:
Please renew as soon as you receive this form. Our membership year runs from
January 1-December 31.
YOU WILL BE DROPPED FROM THE MEMBERSHIP IF NOT
RENEWED PRIOR TO MARCH 1.