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United
States Aviation Museum MEMBERSHIP APPLICATION |
Name:___________________________________Home
Phone:______________________
Address: ________________________________________Fax #:____________________
City/State/Zip:______________________________________________________________
Date of Birth:__________________ Email: ______________________________________
US Citizen: Yes ___ No ___ If no, explain:_______________________________________
Married: Yes___ No___ If yes, spouse's name:___________________________________
Occupation: ___________________________Company:___________________________
Brief History of Military Service (if applicable):____________________________________
Branch: __________________Date of Discharge:: ____________ Rank:_______________
Duties performed in Service: __________________________________________________
Are you a rated aircraft and engine mechanic? Yes ___ No ___
Are you a pilot Yes ___ No ___ ................Do
you own an airplane? Yes ___ No ___
Type of aircraft flown ________________________________________________________
Total flying hours: ___________________ Certificate: Yes ___ No ___
Are you a member of any Aviation Organization? Yes ___ No ___ If yes list:
___________
_________________________________________________________________________
How would you like to help the development and growth of USAM?
Time ___ Financially ___ Administration ___ Maintenance ____ Restoration
____
Other __ Please specify: ____________________________________________________
List hobbies and interests: __________________________________________________
________________________________________________________________________
I certify that the statements made by me in this application are true
to the best of my knowledge and are made in good faith. I will give my
full support to the objectives of the USAM and will assist in its goals.
Applicant's signature:
______________________________________________________
Yearly dues $60.00. Please submit your check or money order (No cash please)
with your application. If your application is not approved, your check
will be returned. If application is approved, you will receive a "Welcome
Aboard" package. This package includes pertinent info about USAM.
Also included is a cap with the USAM logo, a shirt, a USAM patch for the
shirt and a name tag.
Please list shirt size:
Male: Small (14-14
1/2) ___ Medium (15-15 1/2) ___ Large (16-16 1/2) ___
XLarge (17-17 1/2) ___ XXLatge (18-18 1/2) ___
Female: Small
(4-6) ___ Medium (8-10) ___ Large (12-14) ___ XLarge (16-18) ___
XXLarge (20-22) ___
Over 6' in Height
____................Preferred Cap Style:
....Summer (Mesh Top) ____
Under 6' in Height ___..................................................Winter
(Solid Top) ____