Member Application Form
EAA Chapter 301 Denver, Colorado Dues paying members please use this form to remit dues to the treasurer. For roster purposes please furnish the information requested. Note: If renewing membership, fill out only the information that has changed. New Renewal Name: _____________________________________ E-mail address ____________________ Address: ______________________________________________________________________ City: ______________________________________ State:___________ Zip: ____________ Telephone: ______________________________EAA Number (National): ____________ Spouse’s Name: ___________________________Chapter Member Since: _____________ Type Aircraft: __________________________________________________________________ Circle one: Own, Under Construction, Rent, Dreaming About Circle all areas of expertise in aircraft construction where you can be of assistance to other members: Metal, Wood, Composite, Tube/Fabric, Engines, Props, Controls, Electrical, Avionics, Hardware, Painting/Finishing, A&P License, Flight Instructor Tell us a little about your interest in aviation, experience, etc. ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ Dues renewals are $20.00 per calendar year. New member dues are as follows: Jan - Mar: $20; Apr - Jun: $15; Jul - Sep: $10; Oct - Dec: $5. Mail to treasurer: Russell Grell 9961 S. Prairie Falcon Lane, Highlands Ranch CO 80130, or bring this application to a meeting.