NAME _________________________________________________________________
ADDRESS ______________________________________________________________
CITY, STATE ZIP _________________________________________________________
Month of Birth ____________Phone _____________________
E-mail address _______________________
Aircraft owner? Yes ___ No ___ If yes, aircraft type _______________ N Number_______
Renter? Yes ___ No ___ Student? Yes ___ No ___
Interested in helping club? Yes ___
What topics would interest you at our monthly meetings?
__________________________________________________________________________
__________________________________________________________________________
What are your interests in aviation?
__________________________________________________________________________
__________________________________________________________________________
Thank you!
Dennis
ercoupe564@yahoo.com
P.S. Please print this form and send along with a check or money order for $25.00 made payable to; Schaumburg Pilot's Association, P.O. Box 72475, Roselle, Illinois 60172 or bring check or cash and this form to the next meeting.