GREATER MESILLA VALLEY

AEROSTAT ASCENSION ASSOCIATION

MEMBERSHIP APPLICATION

Name(s):________________________________________________________________

Address:________________________________________________________________

_______________________________________________________________________

Telephone: (Home)__________________________________________

.................(Work)__________________________________________

e-mail: ______________________________________________________________

Status:

Pilot ____ Student Pilot ____ Crew ____

Dues: $17.00 Single Membership

..........$20.00 Family Membership

New Membership:____ Renewal Membership:____

Please send check and application to:

Janette Stone, Treasurer
5109 Hacienda
Las Cruces, NM 88011

Sponsored By:___________________________________
.......................GMVAAA Member's Name


This page hosted by
Get your own Free Home Page