CALIFORNIA PILOTS ASSOCIATION MEMBERSHIP APPLICATION

Now! – Join or renew by check or Mastercard/VISA!

Name: ____________________________________________

Address:___________________________________________

City:_____________________State:_____Zip:_______-______

Home Airport: ________________________________

Home Phone: (___)___-_______ Work Phone: (___)___-_______

FAX: (___)___-___________ Cell Phone (___)___-__________

Email:_________________________________


Membership Options
New _________ Renewal___________
Individual: $35 – Pilot Organization: $50 – Aviation Business: $50
Business Partnership: $250 – Lifetime: $500 (Please Circle One)
Additional Donation________________________
PAC** Donation______________ (Political Action Committee- not tax deductable)
**If $100 or over, please complete these lines (required by law): Occupation_____________________________________

Employer_______________________________________

Please send your check with the application, or fill out credit card information. Mastercard ___ or VISA ___ Card# ____________________________
Expiration Date ___/___/___

Signature _________________________


Renewals or New Memberships (only) please mail to:
California Pilots Association
P.O. Box 324
The Sea Ranch, CA 95497-0324

-CALPILOTS is a 501(c)(3) Tax Exempt Corporation – Membership and CALPILOTS donations are tax deductable
All member information is confidential

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