Associated Pilots of Iowa
Membership Application Form

YES !
I wish to join the Associated Pilots of Iowa.
Yearly dues are $20.00

Name: ____________________________________ New___ or Renewal ___
Significant Other?: ____________________________________  
Address: ____________________________________  
Address (cont): ____________________________________  
City, State  Zip ____________________________________  
Phone: ____________________________________  
e-mail address: ____________________________________  
Licensed Pilot? No ____ Yes ____ Student _____ Rating ______________
Aircraft Owner? No ____ Yes ____  

  Send completed form and dues to:

Marilyn Meyer
2900 27th Avenue
Marion, IA 52302

Make personal check
payable to:
Associated Pilots of Iowa

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