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 (MMDD)______________
Spouse___________________________________________________________ DOB (MMDD)______________
Street________________________________________________________________________________
City/State/Zip_________________________________________________________________________________
Phone ___________________National EAA Number: __________________
Expiration Date: _________________
Currently Flyable Aircraft Owned: Manuf:__________________________________________________________
Aircraft Project Under Construction:______________________________________________________________
If you want to receive e-mail from the chapter (news, meeting reminders, newsletters, etc.):
E-mail: ____________________________________________________________________________________
If
you are a builder, you may need to use the chapter workshop at Columbia Owens Downtown Airport.
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 $25 year, $10 year thereafter.
Chapter
Dues: $60/year ____ NEW
MEMBER ____ RENEWAL
Workshop Dues: $10.00/year ____
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: ____
Treasurer ____
Membership ____
Workshop key ____ 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, 2012.