Name
__________________________________________________________________
First
(Nickname)
M.I.
Last
Membership Type Life: ____ Reg ____ If Life, Date of Birth__________
Spouse Name/Your Nickname _____________________ Phone (______)__________________
E-Mail _______________________________________________________________
Street Address ____________________________________________________________
City __________________________ State ________________ Zip __________________
Favorite USAF Helicopter: ______________ Last Assignment / Comments______________
________________________________________________________________________
Regular Memberships are still $ 10.00 per year. Associate
members do not pay dues.
If applying for Dues waiver: Current
Rank: _____Date of Rank: __________A/C qualified in __________
Responding to an Associate Membership offer? Please include your Sponsor’s name.
_____________________________________________________________________
I have enclosed $ __________ to cover dues for years through __________.
Current job or occupation ________________________________________________
Thank you.
Print this form and mail with dues payment to:
Treasurer,
USAF Helicopter Pilot Association
Post Office Box 966
Medical
Lake, WA 99022
While
you are at it , why not fill out the following Biographical Sketch
for our Historian
| Home Page | Membership Page |
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Members Name: |
Spouse’s Name: |
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Member's Birthdate: |
E-mail: |
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Address: |
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Flying training assignments and dates: |
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Military career (Please list by dates, type aircraft, unit and
location.) |
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Additional training / education: |
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Awards and Decorations / Claims to Fame: |
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Post Military career: |
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Family: (wife, children, etc.) |
Retirement pastimes and activities: |
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Remarks: |
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Please enclose a photo. Past and/or present. (It will be returned
if you desire) If you don't have room on this form, just write on
the back and I'll take care of it |
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