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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 only, 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 (plus any applicable workshop fee) r NEW MEMBER r RENEWAL
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.
Be sure to indicate that you are a member of Chapter 242 when you contact
them, and EAA will rebate a portion of your dues to our chapter.
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.