EAA Chapter 14 - San Diego California
Membership Application/Renewal Form

NAME
Last-name
First-name
Mid-initial
Spouse-name
ADDRESS
Address
City
State
Zip
CONTACT INFO
HomePhone
WorkPhone
Your email address
INFO ABOUT YOU
Your date of birth
EAA National Membership Number
Occupation
FAA Ratings
Special Skills
Interest in Chapter14 Management or Activities (eg. officer, board, committees)
Need Help (eg. project selection, design, construction)
AIRCRAFT
Aircraft Owned
Aircraft Project
% Project Complete
MEMBERSHIP (check one, membership is for calendar year)
New Member - $30.00 (includes initiation fee, name badge)
Renewing Member - $25.00
Youth Member - $10.00 (new or renewal)