2008

E.A.A. Chapter 538

New or Renewal Membership Form

Name: _______________________________________________________

Spouse’s Name: _______________________________________________

Address: _____________________________________________________

City: ______________________________ State: ______ Zip: __________

Phone: _______________________________________________________

Email Address: ________________________________________________

National EAA Number: _________________ Expires: _______________

**EAA requires you be a member of National EAA in order to be a member of Chapter 538.

Aircraft or Project: _____________________________________________

Comments: ___________________________________________________

_____________________________________________________________

Instructions:

Return the completed/corrected form and $10 annual dues to

Myra Ridder, Treasurer at 14631 N. Second Drive, Phoenix, AZ 85023-5206

(Make checks payable to EAA Chapter 538)

PROXY STATEMENT:

I hereby appoint the officers of EAA Chapter 538 my true and lawful agents and proxies with full power of substitution to represent me, in my absence, at any Chapter meeting on all matters coming before the meeting.

______________________________________________ ____________

Signature Date

NAMETAG ORDER

Style #1 Style #2

NAME EAA CHAPTER 538 PHOENIX, AZ

NAME EAA CHAPTER 538, PHX,AZ LINE 3

First Name

Last Name

Style # 1

Style #2

If Style#2 – Line 3 to read

Pin

Clip

Magnet

**Chapter pays for “pin” type. If you want “clip” or “magnet” please enclose an additional $5.00