Join EAA Chapter 27!

EAA CHAPTER 27 MEMBERSHIP FORM

Please fill in the following information and mail with your dues to:
EAA Chapter 27, c/o Bill Jagoda, 43 Derby Road, Rockfall, CT 06481
Dues are $20.00 per year. Make checks payable to EAA Chapter 27

(Please print)

Name: __________________________________________________  Phone: __________________________
Street: ___________________________________________________________________________________
City: __________________________________________________  State: _____ Zip: _______________
EAA Member # _____________________Expires: _____________  Pilot rating held: ______________
E-mail address: ________________________________________ 
Would you like to receive our newsletter via email? Y / N
Aircraft make & model: ___________________________   Flying ___  Building ___  Restoring __
If building or restoring, % completed?: __________
Tell us about your areas of interest: ______________________________________________________
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