ࡱ> ` 2bjbjss ?: nnn333834\Ux4x4x4x4x4555GUIUIUIUIUIUIU$Wh,ZmUni855i8i8mUx4x4U:::i8Rx4nx4GU:i8GU::wSXL"nUx4l4 DT38T(GUU0UT(Zm9ZPUZnU(596|:6d7P555mUmU1:X555Ui8i8i8i833  Experimental Aircraft Association John Livingston Chapter 227 Membership Application Date: __________________________________ Name: _________________________________ Spouse: ________________________________ Address: _______________________________ _______________________________ Phone: _________________________________ Email Address: __________________________ *EAA Number: _________________________ Sponsor: _______________________________ Single Membership ($15) __________ Family Membership ($20) __________ Return this form with membership dues to: Bob Delveau, Membership Chair 2710 Edgemont Waterloo, Iowa 50702 Make checks payable to: EAA Chapter 227 * You must be a member of EAA. Please contact Membership Chairman, Carl Campbell or President, Randy Dunham for more information about EAA or to obtain an application form You can also visit our website at: http://www.eaa227.org Experimental Aircraft Association John Livingston Chapter 227 Membership Application Date: __________________________________ Name: _________________________________ Spouse: ________________________________ Address: _______________________________ _______________________________ Phone: _________________________________ Email Address: __________________________ *EAA Number: _________________________ Sponsor: _______________________________ Single Membership ($15) __________ Family Membership ($20) __________ Return this form with membership dues to: Bob Delveau, Membership Chair 2710 Edgemont Waterloo, Iowa 50702 Make checks payable to: EAA Chapter 227 * You must be a member of EAA. Please contact Membership Chairman, Carl Campbell or President, Randy Dunham for more information about EAA or to obtain an application form You can also visit our website at: http://www.eaa227.org Experimental Aircraft Association John Livingston Chapter 227 Membership Application Date: __________________________________ Name: _________________________________ Spouse: ________________________________ Address: _______________________________ _______________________________ Phone: _________________________________ Email Address: __________________________ *EAA Number: _________________________ Sponsor: _______________________________ Single Membership ($15) __________ Family Membership ($20) __________ Return this form with membership dues to: Bob Delveau, Membership Chair 2710 Edgemont Waterloo, Iowa 50702 Make checks payable to: EAA Chapter 227 * You must be a member of EAA. Please contact Membership Chairman, Carl Campbell or President, Randy Dunham for more information about EAA or to obtain an application form You can also visit our website at: http://www.eaa227.org Please tell us about yourself Children: ______________________ _______________________________ Rating Student Pilot_____ IFR_____ Private_____ CFI_____ Commercial_____ CFII_____ Aircraft or projects Manufacturer: __________________ Model: _________________________ Year: __________________________ N-number: _____________________ If you can, please include photos & additional information especially if you are involved in a building or restoring project. Please check any items below where you might be able to help Fly-Ins_____ Committees_____ Programs_____ Photography_____ Newsletter Articles_____ Young Eagles_____ Technical_____ Other__________________________ Please tell us about yourself Children: ______________________ _______________________________ Rating Student Pilot_____ IFR_____ Private_____ CFI_____ Commercial_____ CFII_____ Aircraft or projects Manufacturer: __________________ Model: _________________________ Year: __________________________ N-number: _____________________ If you can, please include photos & additional information especially if you are involved in a building or restoring project. Please check any items below where you might be able to help Fly-Ins_____ Committees_____ Programs_____ Photography_____ Newsletter Articles_____ Young Eagles_____ Technical_____ Other__________________________ Please tell us about yourself Children: ______________________ _______________________________ Rating Student Pilot_____ IFR_____ Private_____ CFI_____ Commercial_____ CFII_____ Aircraft or projects Manufacturer: __________________ Model: _________________________ Year: __________________________ N-number: _____________________ If you can, please include photos & additional information especially if you are involved in a building or restoring project. 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L-- @ !L-'-2 |,Address::,,##-=2 |Z! ________________________________((('('(('('(('(''(('(('('('(('( 2 |L e"- @ ! -- @ !-- @ ! -- @ !-'2 3, R2 3R/ _______________________________('('(('('(('('(''(('(('('('(('( 2 3I e"- @ ! -- @ !-- @ ! -- @ !-'-2 ,Phone:1,(,#-:2  _____________________________'('(('('('(('('(('(('(('('('(@Times New Roman-2 ____#$#$ 2 J e- @ ! r-- @ !r-- @ ! r-- @ !r-'-#2 ,Email Address: 6A):,,##-,2 ]______________________(((('('((''(('(('('('(-2 ____#$#$ 2 S e- @ ! )-- @ !)-- @ ! )-- @ !)-'-2 Y , *EAA Number:(5:::-B,##-42 Y E __________________________(('(('('(''(('(('('('(('( 2 Y I e"- @ ! -- @ !-- @ ! -- @ !-'-2  ,Sponsor:,,(,(#-=2  [! _______________________________('('(('('('(('(''(('(('('('(('(- 2  L e- @ ! -- @ ! -- @ ! -- @ ! -' 2 , e - @ !d O -- @ !dO -- @ !d O -- @ !dO -'-%2  ,Single Membership_,,(#N$A,##--- 2   e+2  ($15) ___________('(('(('('('( 2  W e"- @ ! -- @ ! -- @ ! -- @ ! -'-%2 ,Family Membership_1)A(N#A,##,-- 2  e+2 ($20) ___________('(('(('('('( 2 W e"- @ !d A -- @ !dA -- @ !d A -- @ !dA -' 2  , e#- @ ! -- @ ! -- @ ! -- @ ! -'-I2 ,)Return this form with membership dues to:_:#,#,,(#A;,A%B,$#,,,,#( 2  e+- @ !d \ -- @ !d\ -- @ !d \ -- @ !d\ -'- 2  , e#- @ !d -- @ !d -- @ !d -- @ !d -'72 t ,Bob Delveau, Membership Chair_6(':#'##'H$=(#'(5'# 2 t B e#- @ !d $ -- @ !d$ -- @ !d $ -- @ !d$ -' 2 ,2710 Edgemont (('(1('#=(' 2 5 e$- @ !d -- @ !d -- @ !d -- @ !d -')2 <,Waterloo, Iowa 50702M##'((8#((((( 2 < e"- @ !d -- @ !d -- @ !d -- @ !d -' 2 , e#- @ !d P-- @ !dP-- @ !d P-- @ !dP-'-F2 ,'Make checks payable to: EAA Chapter 227M(+##,##,,(((,#'5:::,(,##'((- 2  e"- @ !d -- @ !d-- @ !d -- @ !d-'- 2 k, e - @ !$ -- @ ! $-- @ !-- @ !-- @ ! -- @ !-- @ !$ -- @ ! $-- @ !-- @ !-- @ !n -- @ !n-- @ !n -- @ !n-'- 2 , e#D2 ^,&* You must be a member of EAA. Please )<*)@* *%%?&?*%*4<;/%% %12 ,contact Membership Chairmh%*)%%J&?*%!)*8)%@&2 an, Carl Campbell &)7%7&@**%A2 &,$or President, Randy Dunham for more *.% *%)7%)+)<**)&?*?*%D2 ,&information about EAA or to obtain an **?%*)%**)4<;****%)%)S2 ,0application form You can also visit our website %**%%*)*?<*)%&)% +) +):%*!%12 R,at: http://www.eaa227.orgh%)*<<;%%%****) 2 R e#- 2   e4- @ !$ ,c -- @ ! $,c -- @ !J -- @ !J -- @ ! , -- @ !J -- @ !$ ,)-- @ ! $,-- @ !J-- @ !J-- @ !} Pc -- @ !}P -- @ !} P)-- @ !}P-'=2 ) !Experimental Aircraft AssociationnC28,,S,8!2H,,,2"!H''2,2!28 2 ) e4- @ !s c -- @ !s -- @ !s )-- @ !s-'52 \ John Livingston Chapter 227 2288C282'!28H818!,,222- @ !s @c -- @ !s@ -- @ !s @)-- @ !s@-'-,2  Membership Application^-R8,,'88H88,2!28- 2  e+- @ !s c -- @ !s -- @ !s )-- @ !s-' 2   e+- @ ! &c -- @ !& -- @ ! &)-- @ !&-'-2 V Dat:(2 V0 e:#-A2 Vm $ __________________________________('('(('('('(('('((''(('(('('('(('( 2 V e"- @ ! c -- @ ! -- @ ! )-- @ !-'-2  Name:o:)A#-@2  # __________________________________(('(('('(('('('((''(('(('('('(('( 2  e"- @ ! c -- @ ! -- @ ! )-- @ !-'-2  Spouse::,,(,#->2  " ________________________________(('('(('('('(('(''(('(('('('(('( 2  e"- @ ! 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L)-- @ !L-'-2 | Address::,,##-=2 | ! ________________________________((('('(('('(('(''(('(('('('(('( 2 | e"- @ ! c -- @ ! -- @ ! )-- @ !-'U2 3 1 _______________________________('('(('('(('('(''(('(('('('(('( 2 3 e"- @ ! c -- @ ! -- @ ! )-- @ !-'-2  Phone:1,(,#-:2   _____________________________'('(('('('(('('(('(('(('('('(-2 D____#$#$ 2  e- @ ! rc -- @ !r -- @ ! r)-- @ !r-'-#2  Email Address: 6A):,,##-,2  ______________________(((('('((''(('(('('('(-2 M____#$#$ 2  e- @ ! )c -- @ !) -- @ ! ))-- @ !)-'-2 Y *EAA Number:(5:::-B,##-42 Y  __________________________(('(('('(''(('(('('('(('( 2 Y  e"- @ ! c -- @ ! -- @ ! )-- @ !-'-2  Sponsor:,,(,(#-=2  ! _______________________________('('(('('('(('(''(('(('('('(('(- 2   e- @ ! c -- @ ! -- @ ! )-- @ ! -' 2  e - @ !d O c -- @ !dO -- @ !d O )-- @ !dO -'-%2  Single Membership_,,(#N$A,##--- 2  E  e+2  8 ($15) ___________('(('(('('('( 2   e"- @ ! c -- @ ! -- @ ! )-- @ ! -'-%2 Family Membership_1)A(N#A,##,-- 2 e  e+2 8 ($20) ___________('(('(('('('( 2  e"- @ !d A c -- @ !dA -- @ !d A )-- @ !dA -' 2   e#- @ ! c -- @ ! -- @ ! )-- @ ! -'-I2 )Return this form with membership dues to: :#,#,,(#A;,A%B,$#,,,,#( 2 i e+- @ !d \ c -- @ !d\ -- @ !d \ )-- @ !d\ -'- 2   e#- @ !d c -- @ !d -- @ !d )-- @ !d -'2 t Bob De6(':#.2 t lveau, Membership Chair'##'H$=(#'(5'# 2 t  e#- @ !d $ c -- @ !d$ -- @ !d $ )-- @ !d$ -' 2 2710 Edgemont (('(1('#=(' 2  e$- @ !d c -- @ !d -- @ !d )-- @ !d -')2 < Waterloo, Iowa 50702M##'((8#((((( 2 <w  e"- @ !d c -- @ !d -- @ !d )-- @ !d -' 2   e#- @ !d Pc -- @ !dP -- @ !d P)-- @ !dP-'-F2  'Make checks payable to: EAA Chapter 227M(+##,##,,(((,#'5:::,(,##'((- 2 e e"- @ !d c -- @ !d -- @ !d )-- @ !d-' 2 i  e#- @ !$ c -- @ ! $c -- @ ! -- @ ! -- @ !  -- @ ! -- @ !$ )-- @ ! $-- @ !-- @ !-- @ !n c -- @ !n -- @ !n )-- @ !n-' 2   e#D2 ^ &* You must be a member of EAA. Please )<*)@* *%%?&?*%*4<;/%% %L2  +contact Membership Chairman, Carl Campbell %*)%%J&?*%!)*8)%@&)7%7&@**%A2 & $or President, Randy Dunham for more *.% *%)7%)+)<**)&?*?*%A2  $information about EAA or to obtain a**?%*)%**)4<;****%)%2 n )S2  0application form You can also visit our website %**%%*)*?<*)%&)% +) +):%*!%12 R at: http://www.eaa227.org_%)*<<;%%%****) 2 R  e#- 2 T e4- @ !$ ,-- @ ! $,-- @ !J -- @ !J -- @ ! ,-- @ !J-- @ !$ ,-- @ ! $,-- @ !J-- @ !J-- @ !} P-- @ !}P -- @ !} P-- @ !}P-'=2 )t!Experimental Aircraft AssociationnC28,,S,8!2H,,,2"!H''2,2!28 2 )4 e4- @ !s -- @ !s -- @ !s -- @ !s-'52 John Livingston Chapter 227 2288C282'!28H818!,,222- @ !s @-- @ !s@ -- @ !s @-- @ !s@-'-,2 =Membership Application^-R8,,'88H88,2!28- 2 k e+- @ !s -- @ !s -- @ !s -- @ !s-' 2 < e+- @ ! &-- @ !& -- @ ! &-- @ !&-'-2 V<Date:e:(#-A2 V$ __________________________________('('(('('('(('('((''(('(('('('(('( 2 V\ e"- @ ! -- @ ! -- @ ! -- @ !-'-2 <Name:e:)A#-@2 # __________________________________(('(('('(('('('((''(('(('('('(('( 2 ^ e"- @ ! -- @ ! -- @ ! -- @ !-'-2 <Spouse::,,(,#-2 C _(:2 _______________________________('('(('('('(('(''(('(('('('(('( 2 \ e"- @ ! L-- @ !L -- @ ! L-- @ !L-'-2 |<Address::,,##-=2 |j! ________________________________((('('(('('(('(''(('(('('('(('( 2 |\ e"- @ ! -- @ ! -- @ ! -- @ !-'U2 3<1 _______________________________('('(('('(('('(''(('(('('('(('( 2 3Y e"- @ ! -- @ ! -- @ ! -- @ !-'-2 <Phone:1,(,#-:2 * _____________________________'('(('('('(('('(('(('(('('('(-2 ____#$#$ 2 Z e- @ ! r-- @ !r -- @ ! r-- @ !r-'-#2 <Email Address: 6A):,,##-,2 m______________________(((('('((''(('(('('('(-2 ____#$#$ 2 c e- @ ! )-- @ !) -- @ ! )-- @ !)-'-2 Y < *EAA Number:(5:::-B,##-42 Y U __________________________(('(('('(''(('(('('('(('( 2 Y Y e"- @ ! -- @ ! -- @ ! -- @ !-'-2  <Sponsor:,,(,(# 2  Q:e-=2  k! _______________________________('('(('('('(('(''(('(('('('(('(- 2  \ e- @ ! -- @ ! -- @ ! -- @ ! -' 2 < e - @ !d O -- @ !dO -- @ !d O -- @ !dO -'-%2  <Single Membership_,,(#N$A,##--- 2   e+2  ($15) ___________('(('(('('('( 2  g e"- @ ! -- @ ! -- @ ! -- @ ! -'-%2 <Family Membership_1)A(N#A,##,-- 2  e+2 ($20) ___________('(('(('('('( 2 g e"- @ !d A -- @ !dA -- @ !d A -- @ !dA -' 2  < e#- @ ! -- @ ! -- @ ! -- @ ! -'-I2 <)Return this form with membership dues to::#,#,,(#A;,A%B,$#,,,,#( 2  e+- @ !d \ -- @ !d\ -- @ !d \ -- @ !d\ -'- 2  < e#- @ !d -- @ !d -- @ !d -- @ !d -'72 t <Bob Delveau, Membership Chair_6(':#'##'H$=(#'(5'# 2 t R e#- @ !d $ -- @ !d$ -- @ !d $ -- @ !d$ -' 2 <2710 Edgemont (('(1('#=(' 2 E e$- @ !d -- @ !d -- @ !d -- @ !d -')2 <<Waterloo, Iowa 50702M##'((8#((((( 2 < e"- @ !d -- @ !d -- @ !d -- @ !d -' 2 < e#- @ !d P-- @ !dP -- @ !d P-- @ !dP-'-72 <Make checks payable to: EAA C_M(+##,##,,(((,#'5:::2  hapter 227,(,##'((- 2  e"- @ !d -- @ !d -- @ !d -- @ !d-'- 2 k< e - @ !$ -- @ ! $-- @ ! -- @ ! -- @ ! -- @ !-- @ !$ -- @ ! $-- @ !-- @ !-- @ !n -- @ !n -- @ !n -- @ !n-'- 2 < e#D2 ^<&* You must be a member of EAA. Please )<*)@* *%%?&?*%*4<;/%% %L2 <+contact Membership Chairman, Carl Campbell %*)%%J&?*%!)*8)%@&)7%7&@**%A2 &<$or President, Randy Dunham for more *.% *%)7%)+)<**)&?*?*%D2 <&information about EAA or to obtain an **?%*)%**)4<;****%)%)S2 <0application form You can also visit our website %**%%*)*?<*)%&)% +) +):%*!%12 R<at: http://www.eaa227.orgA%)*<<;%%%****) 2 R e#-                    ՜.+,D՜.+,D px  2#   Brochure Title0lt|UseDefaultLanguageVersionLCID x   !"#$%'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~Root Entry F6STData 1Table&J[WordDocument?:SummaryInformation(TDocumentSummaryInformation8CompObjq  FMicrosoft Office Word Document MSWordDocWord.Document.89q