Chapter 790

Lake In The Hills Airport (3CK), Lake In The Hills IL.

EAA Chapter 790 Membership Form - 2018

Please print

First Name: ___________________________________________

Last Name: ___________________________________________

Spouse: ______________________________________________

EAA Membership Number: _______________________ (Must be an EAA member)

Street Address: ___________________________________________

City: ____________________________________________________

State: ______ Zip: ____________

Home Phone: ______/_______-___________

Cell Phone: ______/_______-___________

Email Address: ___________________________________________

Own Aircraft:   yes  or  no

                                Model or Type: ___________________________________________

Aircraft Project:  yes  or  no

                               Model or Type: _____________________________________

For Young Eagles 

     If you have completed Youth Protection training, what was the date_______________

     If you have completed the background check, what was the date _______________ 

Dues

    $25.00 Family/Individual Renewing Membership_____

    $10.00 FamilyIindividual First-Time Membership ______ 

    $10.00 Out of State Membership _____

    $10.00 Student Membership _____

Please make checks payable to “EAA Chapter 790”

Bring this form and payment to a members meeting, or mail to:

   EAA Chapter 790,  PO Box 1206,  Barrington,  IL  60011

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