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Associated Pilots of Iowa
Membership Application Form |
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YES !
I wish to join the Associated Pilots of Iowa. |
Yearly dues are $20.00
You can also make payment with a credit card here.
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| Name: |
____________________________________ |
New___ or Renewal ___ |
| Significant Other?: |
____________________________________ |
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| Address: |
____________________________________ |
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| Address (cont): |
____________________________________ |
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| City, State Zip |
____________________________________ |
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| Phone: |
____________________________________ |
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| e-mail address: |
____________________________________ |
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| Licensed Pilot? |
No ____ Yes ____ Student _____ |
Rating ______________ |
| Aircraft Owner? |
No ____ Yes ____ |
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Send completed form and dues to:
Marilyn Meyer
2900 27th Avenue
Marion, IA 52302
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Make personal check
payable to:
Associated Pilots of Iowa |