EAA96 New Member/Renewal Form

EAA Chapter 96 - LA's South Bay
2010 New Membership / Renewal Form

New member and renewal Dues are $25 per year.
An additional $10 is required if you wish to receive the monthly newsletter by USPS.
Chapter members must be members of the Experimental Aircraft Association.
EAA dues are a tax deductible, non-profit IRS category 501c3 organization.
Make Checks Payable To: EAA CHAPTER 96
Fill out this form online then print it. Mail or bring this form with your $25 payment to:

EAA CHAPTER 96
C/O Membership Chairperson
1017 West Alondra Blvd.
Compton, CA 90220

Member Type:	Prior Member New Member
First Name:		Last Name:
Spouse First Name:		Spouse Last Name:
Address:
City:
State:	Zip:
Preferred Phone:	( ) -
Email:
Occupation:
EAA Number:
Current Projects:
If you have a web based project log, what is the website URL?:
How would you like to receive your newsletter? Please remit an additional $10 if you would like to receive the newsletter by USPS.
	US Mail On eaa96.org