AEROSTAT ASCENSION ASSOCIATION
MEMBERSHIP APPLICATION
Name(s):________________________________________________________________
Address:________________________________________________________________
_______________________________________________________________________
Telephone: (Home)__________________________________________ .................(Work)__________________________________________
e-mail: ______________________________________________________________
Status:
Dues: $17.00 Single Membership
..........$20.00 Family Membership
New Membership:____ Renewal Membership:____
Please send check and application to:
Sponsored By:___________________________________
.......................GMVAAA Member's Name
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