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Join IAC Chapter 80

Please print this page and fill out the form below.

MIDWEST AEROBATIC CLUB MEMBERSHIP APPLICATION

New Member      Renewal                         Date: _______________

Name: _____________________________________________________

Address: ___________________________________________________

                ___________________________________________________

Home Phone: _________________________________

Work Phone: _________________________________

E-Mail Address: ____________________________________________

EAA Number: ________________      IAC Number:________________

Aircraft Type: ______________________________________________


Please send this form and $25 to the MAC80 Treasurer:

Doug Roth
1001 West Custer
Lincoln, Nebraska 68521